2007—2010年新疆包虫病住院患者直接医疗费用调查

Direct Influencing Factor of Hospitalization Expense for Echinococcosis Patients in Xinjiang from 2007 to 2011

目的：了解包虫病住院患者费用及其影响因素。为有效降低包虫病医疗费用提供依据。方法：对2007—2011年新疆兵团某三级甲等医院囊性包虫病患者住院费用及病例首页资料用Excel2003建立数据库．采用SPSS17．0软件进行统计描述。对影响因素采用方差分析、多元逐步回归分析。结果：2007—2011年共收治269例住院病人，以汉族为主占81％；平均住院日19天。人均住院费用15565．65元，年增长率为12．3％。患者以30～45岁年龄为主；60～75岁组人均住院费用最高为18423．37元。治愈患者总费用最高，人均19442．61元。其中药品费人均6284．叭元，占40．4％。结论：虽然国家对包虫病人进行手术费用补助．但个人仍需承担较多费用。建议政府通过规范住院费用标准。严格控制药品费用。以解决包虫病治疗经费不断上涨的问题，有效减轻包虫病人的经济负担。

Objective： To understand the expense of echinococcosis patients and its influencing factors so as to provide the basis for reducing the medical expenses of echinococcosis. Method- According to the statistical report of hospitalization expense of echinococcosis from 2007 to 2011, the growth of medical cost for inpatients was statistically analyzed. Result： There are altogether 269 cases of hospitalized patients in 5 years, 81% of which are Han People; and the annual growth rate is 12.3%. The total expense for every cured patient is the highest, of which the medicine cost makes up 40.4%. The results show that age, hospital stay, therapeutic effect, inspection expense, operation fee and medicine cost have influence on total hospitalization expense. Conclusion： The government can regulate the standard of hospitalization expense and control pharmaceutical costs to lighten economic burden of the echinococcosis patients.