摘要
目的：调查部队病毒性肝炎患者住院费用及其影响因素． 方法：资料来自全军卫生统计信息中心病案首页数据库，应用 Ｓ Ｐ Ｓ Ｓ统计软件包处理，统计方法有方差分析、多元逐步回归分析等． 结果：部队病毒性肝炎患者住院费用中，药费所占比重较大，达 ５４．３９％ ，床位费占 ２１．０４％ ，治疗费仅占１７．６６％ ． 单因素分析结果表明：乙肝住院费占肝炎全部住院费的 ５９．７５％ ，住院天数对病毒性肝炎住院费用也有显著影响，住院天数在 １５ ｄ 以内的患者，人均住院费用仅为２９５．１２元，超过３０ ｄ 后，则高达１２８８． ２５ 元． 入院情况及治疗结果等相关因素对病毒性肝炎住院费用均有明显影响（ Ｐ＜ ０．０１），另外，年龄、婚姻状况、不同职级别及军兵种等因素也有一定影响（ Ｐ＜ ０．０１）． 逐步回归结果显示：影响患者住院费用的因素按作用大小依次为：住院天数、患者年龄、一级护理、年度、是否手术、治疗结果、入院情况、有无并发症、是否发生院内感染、军种、性别及病原类型等． 结论：部队乙肝发病率高，住院天数是影响军队病毒性肝炎患者住院费用的主要原因，前者居肝炎住院费用首位（５９．７５％ ）， 后者对住院费用的影响表现出明显的正相关． 同时，年龄。
AIM: To determine the factors affecting medical care costs of hepatitis cases among military population. METHODS: Raw data were collected from the headlines of inpatient medical records in the data base of PLA Health Statistical Information Center, processed by SPSS, with analysis of variance and stepwise regression. RESULTS: Among medical care costs of hepatitis cases in military population, medication was 54.39%, ward charge 21.04% and treatment only 17.66%. The results of single variable analysis indicated that medical care costs of hepatitis B accounted for 59.75% of the total costs. Length of hospital stay affected the medical care costs of hepatitis cases significantly ( P <0.01). For patients with hospital stay fewer than 15 days, the costs were 295.12 R.M.B., but for patients with that of more than 30 days, the costs soared to 1288.25 R.M.B..The factors such as the admission state and the results of treatment affected the medical care costs of patients significantly ( P <0.01). In addition, age, marriage status, rank and position, and arm of services influenced the costs statistically( P <0.01). Stepwise regression analysis showed that the length of hospital stay, age, nursing, the year of admission, surgical operation, the results of treatment, complications, secondary infection, arm of services, sex and type of hepatitis affected the medical care costs in the order named. CONCLUSION:High incidence of HB in military population and the days of hospital stay were the two major factors affecting the costs, and the latter was positively related to the costs. At the same time,age,the state of the case and results of the treatment,etc, all affected the medical care costs to different degrees.
出处
《第四军医大学学报》
1999年第7期590-592,共3页
Journal of the Fourth Military Medical University
基金
全军"九五"指令课题
关键词
部队
病毒性肝炎
住院
经济学
相关因素
military population
hepatitis, virial, human
hospitalization/economics
related factors
