对应分析在慢性肾脏病患者住院费用影响因素中的应用

Application of Correspondence Analysis on the Chronic Kidney Disease Hospitalization Cost and Its Influence Factors

目的探讨慢性肾脏病住院费用及其与各因素之间的对应关系。方法通过医院信息管理系统收集某三甲医院2015年1月至12月的慢性肾脏病患者病案首页及出院后费用资料,采用SPSS16.0对数据进行统计分析,描述慢性肾脏病患者住院费用及其构成情况,通过对应分析探讨费用与各因素之间的对应关系。结果 242例慢性肾脏病的平均住院费用为8561.69(7065.35-10,888.99),药费和检查化验费分别占总费用的46.56%和30.72%,对应分析结果发现,CKD-2期、青年、住院时间短且支付方式为城镇职工医疗保险的患者对应的总费用最低,CKD-5期、老年、住院时间长且支付方式为全自费的患者对应的总费用最高。结论慢性肾脏病患者住院费用很高,年龄、CKD分期、住院时间及费用支付方式是慢性肾脏病费用高的重要因素。

Objective To explore the correspondence association of chronic kidney disease hospitalization cost with its influence factors. Methods The relevant information about hospitalization expenses of chronic kidney disease was collected from the information management system of a third level hospital from January to December, 2015. Data was conducted by SPSS 16. 0 software. Chronic kidney disease hospitalization cost and its components were described. Correspondence analysis was conducted explore the relationship between hospitalization cost and its influence factors. Results The median hospital cost of chronic kidney disease was RMB 8561.69 （25%-75%：7065.35-10, 888.99）. 46. 56% and 30. 72% of the total costs were made up of drugs and laboratory examination fee. In correspondence analysis, patients of CKD-2, the young, those who were in hospital with a short time and had an urban worker medical insurance correspondent to the lowest hospital cost. In contrast, patients of CKD-5, the old, those who were in hospital with a long time and had no medical insurance correspondent to the highest hospital cost. Conclusion The hospital cost of chronic kidney disease was expensive. Age, the stage of CKD, hospitalization time and medical insurance were associated with cost in survival chronic kidney disease patients.