上消化道出血住院患者直接经济负担及影响因素分析

Direct Economic Burden and Impacts of Hospitalized Patients with Upper Gastrointestinal Bleeding

目的:了解上消化道出血住院患者的直接经济负担,探讨其构成特点及影响因素,为优化上消化道出血的治疗方案,减轻患者经济负担提供依据和参考。方法:通过自制表格收集患者的直接经济负担情况,应用多元回归模型分析直接经济负担的影响因素。结果:上消化道出血住院患者的人均直接经济负担为13 184.85元,药物费所占比例最高,达57.24%。主要影响因素为治疗方式、病因诊断和住院天数。结论:合理用药、控制药品比例,缩短平均住院天数是降低上消化道住院患者经济负担的重要手段。尽早发现、明确上消化道出血病因也有利于降低上消化道出血住院患者的经济负担。

Objective：To assess the direct economic burden and impacts of hospitalized patients with upper gastrointestinal bleeding and to lay the technical foundation for economic control and treatment improving of upper gastrointestinal bleeding. Method：Collected the direct economic burden for patients with upper gastrointestinal bleeding with a kind of table made by authors and analyzed the main influencing factors with a multiple linear regression analysis. Result：The average direct economic burden per case was 13 184.85 yuan RMB,while the drug consumption account for about 57.24%. The main influencing factors were treatment,etiological diagnosis and days stay in hospital.Conclusion：The direct economic burden for the hospitalized patients with upper gastrointestinal bleeding could be reduced by rational medication,cutting down the cost of medicine,controlling the average day stay in hospital. And making a definite etiologic diagnosis as soon as possible is also helpful.