兰州市道路交通伤害患者住院费用影响因素分析

Hospitalization expenditure and its influencing factors among inpatients with road traffic injuries in Lanzhou city

目的了解甘肃省兰州市道路交通伤害患者的住院费用及其影响因素,为降低道路交通伤害的经济负担提供参考依据。方法对兰州市整群抽取的2所综合医院1994—2008年收治的3 599例道路交通伤害患者的住院费用进行回顾性分析。结果兰州市道路交通伤害的人均住院费用为5 232.54元,其中药费、治疗费、手术费、检查费、医疗服务费和其他费用分别为1 906.85、792.63、785.82、600.60、212.88和29.53元,分别占44.05%、18.31%、18.16%、13.88%、4.92%和0.68%;多元线性逐步回归分析结果表明,男性、年龄大、住院天数多、住院年份晚、确诊天数长、入院情况危重、手术、抢救治疗和出院疗效差的道路交通伤害患者的住院费用较高。结论兰州市道路交通伤害患者住院费用的主要影响因素为住院天数、入院年份、入院情况、是否手术、是否抢救。

Objective To examine the hospitalization expenditure and its influencing factors among inpatients with road traffic injuries in Lanzhou city and to provide references for reducing economic burden of the traffic injuries. Meth- ods Cluster sampling was used to collect 3 599 medical records of traffic injuries inpatients from 1994 to 2008 in two general hospitals in Lanzhou city and to analyze the hospitalization expenditure of the inpatients. Results The average hospitalization expense of the traffic injury inpatients was 5 232. 54 RMB Yuan, and the expense for drug, treatment, operation, medical service, and other items was 1 906. 85, 792. 63, 785.82, 600. 60, 212. 88, and 29.53 Yuan, respectively,accounting for 44.05%, 18.31%, 18.16%, 13.88% ,4. 92%, and 0. 68% of total expense. Multiple linear regression showed that the male, the elderly, long duration of hospitalization, hospitalization in recent years, more days before making a definite diagnosis, serious condition of the injury, with an operation or a rescue treatment, and poor thera- peutic effect were associated with higher hospitalization expenditure. Conclusion The main influencing factors of hospi- talization expenditure for traffic injury inpatients in Lanzhou city were time of hospitalization, years of injury incident, disease condition, whether or not having an operation and whether or not having emergency treatment.