摘要
目的 分析近 5年糖尿病患者住院费用的增长及分布情况。方法 采用总后勤部信息统计中心制发的全军病案首页 ,按照国际疾病分类法 ,抽取 1995～ 1999年住院的糖尿病病案。结果 5年内我院共收住 948例、15 0 9例次糖尿病患者。年人均住院费用以及药费、检查费、床位护理费和住院天数分别由 1995年 2 382元、95 0元、6 2 1元、5 2 4元增至1999年的 485 0元、1734元、1198元、15 6 4元 ,分别增加了 10 3.7%、82 .5 %、92 .9%、198.5 % ,住院天数则减少 2天。糖尿病合并单纯性脑梗塞、单纯性高血压、胆囊炎和 /或胆结石、上呼吸道感染的人均医疗费用分别为无糖尿病的同类病变患者的 2 .0 2、1.89、1.32、3.70倍 ,住院日则分别延长 9.7日、2 .0日、10 .8日和 9.1日。同一年龄段糖尿病合并胆囊炎和 /或胆结石的患者与对照者比较 ,前者住院总费用、药费、检查费、床位护理费和其它费用均明显高于后者 ,统计学有非常显著性差异。结论 近 5年来 ,糖尿病的住院费用增加了一倍以上 ,其中床位护理费增加近 2倍 ;因其它疾病住院的糖尿病患者的医疗费用明显地高于无糖尿病的同类病变者。本文强调要加强糖尿病防治工作 。
Objective To investigate the in patient costs change in diabetic patients during 1995～1999.Methods According to ICD 9 code and the standard forms for the investigation of medical expenditure, all the patients with diabetes were analysed for their hospital costs.Results 948 cases (1509 admissions) with diabetes were used for the analysis. The average total cost was 2382 RMB yuan, including 950 for the drugs, 621 for the examinations, 524 for the bedding and nursing in 1995, and was increased annually to total 4850 RMB yuan with 1734 for the drugs, 1198 for the examinations, 1564 for the bedding and nursing in 1999 respectively, which means 103 7%,82 5%,92 9% and 198 5% increases respectively. The hospitalied length was decreased from 24 6 in 1995 to 22 6 days in 1999. These diabetic patients with cerebral infarction, hypertension, cholecystitis and/or gallstones,and upper respiratory infection, spent 2 02?1 89?1 32?3 70 times more money than their counterparts without diabetes (4390 vs 2175, 3560 vs 1887, 4103 vs 3102, 2285 vs 618 RMB yuan, P<0 01).Conclusion The in patient medical costs for diabetic patients dramatically increased in last 5 years. The diabetic patients admitted for other diseases cost much more than their counterparts without diabetes.The health economics in diabetes should been paid more attentively, particularly in China which has the biggest diabetic population and is a developing country.
出处
《中国糖尿病杂志》
CAS
CSCD
2001年第5期298-302,共5页
Chinese Journal of Diabetes
