广东省急性与慢性病毒性肝炎病人住院费用分析

Analysis on the hospitalization expenses of the patients with acute and chronic viral hepatitis in Guangdong Province

目的对比分析广东省急性与慢性病毒性肝炎患者的住院费用及其影响因素,为减轻肝炎患者住院经济负担提供政策依据。方法采用多阶段分层随机抽样的方法选取广东省4所医院作为研究对象,收集2010年4~5月住院的312例病毒性肝炎患者的相关资料,了解其费用构成并采用多元逐步回归法分析住院费用的影响因素。结果广东省急性与慢性病毒性肝炎患者平均每次住院费用分别为13 272.78元、14 416.49元;药品费在住院费用中所占比例最大,分别为7 723.34元（58.2%）、8 235.20元（57.1%）;住院天数是肝炎患者住院费用的主要影响因素。结论控制药品费用增长及合理缩短住院天数是降低急性与慢性肝炎患者住院费用的重要途径。

Objective To compare the hospitalization expenses of the patients with acute and chronic viral hepatitis in Guangdong Province,and analyze its impact factors,so as to provide the policy basis to reduce the economic burden of the hepatitis patients.Methods The relevant material of 312 patients with viral hepatitis who were in hospital from April to May 2010 were collected by muti-stage stratified random sampling,the composition of fees and affecting factors were analyzed by multivariate stepwise regression.Results The hospitalization expenses of the patients with acute and chronic viral hepatitis in Guangdong Province was $13 272.78 and $14 416.49 respectively.Among them,the medicine costs in hospitalization costs accounted for the largest proportion of the maximum,respectively were $7 723.34（58.2%）,$8 235.20（57.1%）.The hospitalization days were the main influencing factor of the hospitalization fee.Conclusions Controlling the increase of the costs of medicine and cutting down the invalid hospitalization is the major way to reduce hospitalization costs.