海口市某医院老年常见慢性病患者疾病经济负担影响因素分析
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摘要
目的:分析海口市老年常见慢性病患者的直接疾病经济负担及其影响因素,并提出对策。方法:选择海口市某医院住院治疗的2896例老年慢性病患者的住院信息作为研究资料,构建多元线性回归模型,比较各变量对住院总费用的影响程度。结果:同种疾病比较,医保患者的人均住院天数、人均住院费用等明显多于自费患者(P均<0.05)。除肿瘤患者外,其他自费老年慢性病患者的药占比明显高于医保患者(P<0.05)。年龄、疾病类型、住院天数、药占比、费别、是否首次住院、是否合并多种疾病等因素均与住院总费用密切相关,其中,疾病类型的影响最大,其次为费别、住院天数和是否合并多种疾病。结论:加强对慢性病经济风险的保障力度,加强对全人群的健康教育。
Objective: This paper analyzed the direct disease economic burden and its influencing factors of the elderly with common chronic diseases in Haikou city, and put forward corresponding improvement suggestions. Methods: 2896 elderly patients with chronic diseases hospitalized in a hospital were selected as the research objects in Haikou City. A multiple linear regression model was constructed to compare the influence of each variable on the total hospitalization expenses. Results: Compared with the same diseases, the average hospitalization days and the average hospitalization expenses of the medical insurance patients were significantly more than those of the self-paid patients(all P<0.05). Except for cancer patients, the proportion of self-paid elderly patients with chronic diseases was significantly higher than that of medical insurance patients(P<0.05). Age, disease type, hospitalization days, drug proportion, fee, whether first hospitalization, whether combined with a variety of diseases and other factors are closely related to the total hospitalization costs, of which the disease type has the greatest impact, followed by fee, hospitalization days and whether combined with a variety of diseases. Conclusion: We should strengthen the protection of economic risks of chronic diseases, and strengthen health education for the whole population.
Objective: This paper analyzed the direct disease economic burden and its influencing factors of the elderly with common chronic diseases in Haikou city, and put forward corresponding improvement suggestions. Methods: 2896 elderly patients with chronic diseases hospitalized in a hospital were selected as the research objects in Haikou City. A multiple linear regression model was constructed to compare the influence of each variable on the total hospitalization expenses. Results: Compared with the same diseases, the average hospitalization days and the average hospitalization expenses of the medical insurance patients were significantly more than those of the self-paid patients(all P<0.05). Except for cancer patients, the proportion of self-paid elderly patients with chronic diseases was significantly higher than that of medical insurance patients(P<0.05). Age, disease type, hospitalization days, drug proportion, fee, whether first hospitalization, whether combined with a variety of diseases and other factors are closely related to the total hospitalization costs, of which the disease type has the greatest impact, followed by fee, hospitalization days and whether combined with a variety of diseases. Conclusion: We should strengthen the protection of economic risks of chronic diseases, and strengthen health education for the whole population.
引文
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[11]黄娟.北京市某三甲医院慢性阻塞性肺疾病住院患者直接经济负担影响因素分析[J].医学与社会,2015,28(7):19-22.
[2]李蓓.中国2.3亿60岁及以上老年人口超过7成有慢性病[N].劳动报,2017-11-06(5).
[3]全国老龄办.第四次中国城乡老年人生活状况抽样调查简报[EB/OL].[2018-03-08].http://www.cncaprc.gov.cn/contents/2/177118.html.
[4]王跃,毛开云,王恒哲,等.面向老龄化和慢病推进我国大健康产业发展[J].生命科学,2018,30(8):884-890.
[5]阮婷婷,王婷婷,席荣古丽·哈力力,等.慢性病患者治疗负担研究现状[J].中国护理管理,2017,17(12):1687-1691.
[6]海南省统计局.2017年海南省国民经济和社会发展统计公报[EB/OL].[2018-01-30)].http://www.hainan.gov.cn/hn/zwgk/gsgg/201801/t20180124_2536305.html.
[7]林坤河,祝雯珺,李剑如.湖北省肿瘤患者疾病经济负担状况分析[J].医学与社会,2017,30(8):1-3.
[8]孙阿敏,肖敦明,马爱霞.慢性病与中国中老年家庭消费保险能力研究[J].现代商贸工业,2017(10):121-123.
[9]郭莉娜,刘琰,杜丽红,等.高血压直接经济负担趋势分析[J].医学与社会,2016,29(5):42-44
[10]孙阿敏,崔宇杰,肖敦明,等.慢性病对中老年家庭消费的影响分析[J].卫生经济研究,2017(9):55-59.
[11]黄娟.北京市某三甲医院慢性阻塞性肺疾病住院患者直接经济负担影响因素分析[J].医学与社会,2015,28(7):19-22.