7558例精神疾病患者住院费用影响因素分析

Analysis on the Influencing Factors of Hospitalization Expenses in 7558 Cases of Patients with Mental Illness

目的:本研究通过分析近5年黑龙江省神经精神病医院住院患者的费用情况,探求黑龙江省精神疾病住院患者费用影响因素。方法:对2013—2017年出院的7 558例精神疾病患者进行费用构成分析,并对影响医疗费用的因素进行单因素分析和多因素逐步回归分析。结果:住院费用呈逐年上升趋势,药费占比逐年降低,治疗费用占比逐年上升。影响平均床日费的主要因素,按其对平均床日费作用由大渐小依次为:住院天数,情感性精神障碍(心境障碍)、年龄、患者来源、全自费、全公费、住院次数、其他精神疾病、精神分裂症、分裂型和妄想性精神障碍以及新型农村合作医疗。结论:精神疾病患者住院费用受多种因素的影响,必须采取综合控制措施,才能有效控制住院患者的医疗费用增长。

Objective： To analyze the cost of mental illness inpatients in Heilongjiang Neuropathy and Psychopathy Hospital in the past 5 years, to understand the current situation and explore its influencing factors. Methods： The cost composition of 7 558 patients discharged from hospital from 2013 to 2017 was analyzed, and the single factor analysis and multiple factor regression analysis were carried out. Results： The hospitalization cost was increasing year by year, the drug cost ratio decreased year by year, and the treatment cost ratio increased year by year. The main factors that affected the average daily cost of bed, according to its effect on the average daily cost of bed, were： days of hospitalization, emotional disorders（mood disorders）, age, patient source, full out-of-pocket expenses, full public expenses and number of hospitalizations. Other mental disorders, schizophrenia, schizophrenia, schizophrenia and paranoid disorders, New Rural Cooperative Medical Insurance, Conclusion： The hospitalization costs of mental illness patients were affected by varied factors, and comprehensive control measures should be adopted to effectively control the increase of medical expenses of inpatients.