文章摘要
程晓燕,赵 俊.南京市某三甲医院糖尿病患者住院费用分析[J].南京医科大学学报(社会科学版),2017,(6):467~470
南京市某三甲医院糖尿病患者住院费用分析
Analysis of hospitalization cost of diabetic patients in a tertiary hospital in Nanjing
投稿时间:2017-04-26  
DOI:10.7655/NYDXBSS20170607
中文关键词: 住院费用  糖尿病  统计分析
英文关键词: hospitalization cost  diabetes  analyse
基金项目:江苏省品牌专业建设工程资助项目“江苏省重大疾病生物资源库建设”(PPZY2015A067)
作者单位
程晓燕 南京医科大学医政学院,江苏 南京 211166 
赵 俊 南京医科大学第一附属医院江苏 南京 210029 
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中文摘要:
      目的:了解近4年糖尿病住院患者的费用变化及构成情况,为制定相关制度、控制费用增长、合理利用卫生资源、减轻经济负担提供参考。方法:对2013—2016年南京市某三甲医院糖尿病住院患者的病案资料进行分析,按照年度、年龄、医保类别、并发症个数对其进行描述性统计及方差分析。结果:糖尿病患者逐年增加,住院费用逐年增加,药品费占比逐年减小。60岁以上老年人的住院费用明显高于其他组的住院费用,不同医疗保障类型的糖尿病患者住院费用具有显著性差异,自费组明显低于其他组。并发症个数越多,住院费用也越高。 结论:糖尿病患者的住院费用与年龄、医疗保障类别、并发症等有关。应通过规范治疗、加强预防,有效利用医疗卫生资源,提高糖尿病患者生存质量,降低患者与社会经济负担。
英文摘要:
      Objective: To analyze 4 years changes in the cost of diabetes patients and their composition, provide reference for the system design, cost control, health resource use and reduction of economical burden. Methods: We analyzed the medical record data of a tertiary hospital in Nanjing during 2013-2016, and the patients were divided into different groups according to year, age, medical insurance type and number of complication diseases. The medical costs for patients was statistically described and analysis in variance. Results: From 2013 to 2016, diabetes patients number increased, the hospitalization cost increased too, and the ratio of drug cost decreased. The hospitalization cost in the elderly over 60 years group was significantly higher than that of the other groups. Different kinds of social security groups had significant differences of hospitalization cost. The self-paying group showed the lowest hospitalization cost than other groups. The more complication diseases, the higher hospitalization cost. Conclusion: Hospitalization cost of diabetes patients is associated with age, medical insurance type, and complication disease. Great efforts should be taken into improve the patients’survival quality and reduce the economic burden by standard treatment, through enhancing prevention and control and designing reasonable system.
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