慢性重型乙型病毒性肝炎患者住院费用构成及影响因素分析

Composition of Hospitalization Cost of Patients with Severe Chronic Hepatitis B and Its Influencing Factors

目的了解慢性重型乙型病毒性肝炎患者的住院费用构成,分析患者住院费用的影响因素。方法利用医院信息管理系统,回顾性调查212例慢性重型乙型病毒性肝炎患者住院医疗费用构成情况,分析住院费用的影响因素。结果本组212例慢性重型乙型病毒性肝炎患者住院医疗费平均36 045元,其中药品费所占比例最高,达65.896%,其次为化验检查费(10.024%),血库血(浆)费(7.357%)。多元逐步回归分析显示住院费用的影响因素包括住院天数、医疗费用支付方式、职业性质(P<0.05)。结论药品费是慢性重型乙型病毒性肝炎患者住院费用的注意组成部分。应提高慢性重型乙型病毒性肝炎患者住院费用及门诊长期应用抗病毒药费用的报销比例,减轻患者经济负担,尤其是农民患者。

Objective To understand the composition of hospitalization cost of patients with severe chronic hepatitis B and its influencing factors. Methods With retrospective investigation, the composition of hospitalization cost of 212 patients with severe chronic hepatitis B was analyzed through hospital information management system and its influencing factors were analyzed by multiple regression analysis. Results The average medical fee of 212 cases of chronic severe hepatitis B patients was 36 045 yuan. Drug charges was the highest （65.896%）, followed by laboratory examination fee （10.024%） and blood bank blood （plasma） fee （7.357%）. The length of stay, the mode of payment and career had significant impacts on the medical expense （P〈0.05）. Conclusion Much more attention should be paid to drug charges during the prevention and treatment of hepatitis B infection, which can decrease the expenses to a large degree. Additionally, increasing the rate of reimbursement is the basic way to decrease financial burden of patients.