精神科老年患者的住院时间与成本分析

Hospitalization Time and Cost of Senile Patients in the Department of Psychiatry

目的从医院层面出发,探索精神科老年患者在住院期间所产生的治疗消费和日常消费等成本与住院时间长短的关系。方法选取该院2013—2016年精神科入院进行住院治疗的675例老年患者,并提取675例住院患者在院期间的住院数据进行回顾性分析,通过统计住院时间、住院期间产生的医疗费用和看护费用、日常消费,合理分析住院时间与住院成本之间的相关因素。结果有痴呆诊断,合并脑卒中,合并糖尿病患者住院时间更长;住院时间较长,使用肠外营养液,使用抗生素以及合并冠心病的患者总医疗费用更高。结论患有痴呆诊断、合并慢性躯体疾病的精神科老年患者的住院时间更长、住院成本更高。

Objective To explore the correlation between the treatment cost and daily expenses and length of stay of senile patients in the department of psychiatry from the view of the hospital.Methods The data of 675 cases of senile patients in our hospital from 2013 to 2016 during the hospitalization period were retrospectively analyzed,and the length of stay,medical cost,care cost and daily expense during the hospitalization period were counted by summarizing the basic personal information,physical condition and diagnosis and treatment situation in the department of psychiatry and the correlation between the length of stay and hospitalization cost was rationally analyzed.Results The length of stay of patients with stroke or diabetes was longer in diagnosis of dementia.The longer the length of stay,the higher the total medical cost of patients with the parenteral nutrient solution,antibiotics and coronary heart disease.Conclusion The senile patients with dementia and chronic somatic diseases in the department of psychiatry have a longer hospitalization time and a higher hospitalization cost.