摘要
目的:对使用新型多种油(SMOF)脂肪乳与中/长链(MCT/LCT)脂肪乳的老年住院患者的住院费用和住院日进行对比分析,为临床合理用药和决策者提供参考。方法:利用中国医疗保险研究会全国参保患者医疗服务利用调查数据库,选取2016年~2017年使用过新型SMOF脂肪乳或MCT/LCT脂肪乳的60岁及以上老年住院患者的全部住院人次。采用倾向评分匹配法对SMOF脂肪乳组与MCT/LCT脂肪乳组患者进行基线匹配,分析对比两组患者住院费用(总费用、药品费用、脂肪乳费用、诊疗费用、基金支付金额)和住院日情况。结果:老年住院患者使用SMOF脂肪乳与使用MCT/LCT脂肪乳相比,尽管脂肪乳费用显著增加,但住院天数、住院总费用、药品费用、诊疗费用以及基金支付均有下降趋势。
Objective:To compare the hospitalization cost and length of hospital stay between SMOF emulsion and MCT/LCT fat emulsion in elderly inpatients,so as to provide a reference for clinical rational drug use and policy making.Methods:All inpatients aged 60 years or above who had used the new SMOF emulsion or MCT/LCT fat emulsion from 2016 to 2017 were selected from the national medical service survey database of insured patients of China Medical Insurance Research Association.The propensity score matching method was used to match the baseline of patients in SMOF emulsion group and MCT/LCT fat emulsion group,and to analyze and compare the hospitalization cost(total hospitalization cost,drug cost,emulsion infusion cost,diagnosis and treatment cost,fund payments)and hospitalization days of patients in the two groups.Results:Compared with MCT/LCT fat emulsions,emulsion infusion cost of SMOF emulsion was signifi cantly increased in elderly inpatients,but the hospitalization days,total hospitalization cost,drug cost,diagnosis and treatment cost and fund payments all showed a downward trend.
作者
李婷
裴艺芳
张田
倪倩
罗太敏
那一凡
胡欣
谭玲
Li Ting;Pei Yifang;Zhang Tian;Ni Qian;Luo Taimin;Na Yifan;Hu Xin;Tan Ling(Department of Pharmacy,Beijing hospital/Beijing Key Laboratory of Clinical Drugs Risk and Individual Application Assessment,Beijing Hospital/National Center of Gerontology/Institute of Geriatric Medicine,Chinese Academy of Medical Sciences,Beijing,100730)
出处
《中国医疗保险》
2021年第5期71-75,共5页
China Health Insurance
关键词
多种油脂肪乳
中/长链脂肪乳
住院费用
老年患者
住院日
SMOF emulsion
MCT/LCT fat emulsion
hospitalization cost
elderly patients
length of hospital stay
