不稳定型心绞痛患者住院总费用及药品费用影响因素

Hospitalization Costs and the Influencing Factors of Drug Costs in the Patients with Unstable Angina

目的探讨不稳定型心绞痛患者住院总费用的构成及药品费用的影响因素。方法收集沈阳市两所三级医院2021年1月至2021年9月入院的420例首诊为不稳定型心绞痛住院患者的电子病历数据,对患者的住院费用及构成进行统计分析,对药品费用的影响因素进行单因素分析,并采用多元线性回归模型进行多因素分析。结果不稳定型心绞痛患者平均住院费用为5951.34元,在各项费用构成中,药品费用占比最高,为38.44%,其次是检验费和检查费,分别为21.35%和15.58%;单因素分析结果显示,不同年龄、住院天数、付费类型及使用药品种数患者药品费用差异有统计学意义(P<0.05);多元线性回归分析结果显示,年龄、住院天数及药品种数是影响药品费用的重要因素。结论减少住院天数和药品种数,能有效控制药品费用和住院总费用。

Objective To explore the constitution of hospitalization costs and the influencing factors of drug cost in patients with unstable angina.Methods The electronic medical records of 420 hospitalized patients with unstable angina admitted to the third-class hospitals in Shenyang from January,2021 to September,2021 were collected,and the hospitalization costs and composition of the costs were statistically analyzed.The influencing factors of drug costs were analyzed by monofactor analysis,and multivariate analysis was performed using multiple linear regression models.Results The average hospitalization cost of patients with unstable angina pectoris was 5951.34 yuan;Among the cost components,the drug cost accounted for the highest proportion,38.44%,followed by the test cost and examination cost,21.35%and 15.58%respectively;The results of univariate analysis showed that there were significant differences in drug costs among patients with different age,length of stay,type of payment and number of drugs used(P<0.05);Multiple linear regression analysis showed that age,length of stay and number of drugs were important factors affecting drug costs.Conclusion Controlling number of drug varieties and reducing hospital stay can effectively control drug costs and hospitalization costs.