影响部队不同类型病毒性肝炎患者人均日住院费用因素分析

Analysis of related factors of medical care costs per hospitalized day for viral hepatitis cases among military population

目的 阐明部队病毒性肝炎患者人均日住院费用影响因素 .方法 资料来源于 1 0 2 95例肝炎病例首页数据 ,应用 SPSS软件包 ,进行方差分析、多元逐步回归分析 .结果 单因素分析显示 :除性别外 ,其他各社会经济因素对人均日费用均有显著影响 ;另外 ,入院情况、入院次数、有无并发症及住院天数 ,门诊、出院诊断是否相符以及患者转归明显影响各型肝炎患者人均日费用 (P<0 .0 5 ) .逐步回归分析结果表明 :年龄、年度、一级护理、住院天数等 1 3项因素影响军队病毒性肝炎患者人均日住院费用 .结论 年龄、年度、一级护理是影响人均日住院费用的前 3位因素 ,住院天数仅位居第 4,且其对人均日住院费用的影响表明出明显负相关 ,即 :住院天数越长 ,人均日住院费用越低 .

AIM To determine the factors affecting medical care costs per hospitalized day for hepatitis cases among military population. METHODS All data were dealt with SPSS and analysis of variance and stepwise regression analysis were performed. RESULTS Among the social economic factors,all variables except that of sex influenced the costs per day. State of the illness, times of hospitalization, complications, hospitalized days, the match of diagnosis on admission and discharge and the result of the treatment all affected the costs significantly. Stepwise regression analysis indicated that 13 factors such as age, the year of hospitalization, intensive care all affected the daily costs of hepatitis cases. CONCLUSION Age, the year of hospitalization and intensive care are the three main factors affecting the daily costs while hospitalized days rank as the fourth and are related negatively to the daily costs.