骨质疏松骨折患者三级甲等医院住院经济负担及其影响因素分析

Analysis of the economic burden and influencing factors in patients with osteoporotic fractures in tertiary hospitals

目的了解骨质疏松性骨折患者三级甲等医院住院经济负担并分析相关影响因素,为疾病管理及医疗付费政策提供参考。方法通过回顾性资料收集,采用病例资料查阅及电话访问,对骨质疏松性骨折患者进行人口学、诊疗情况和住院费用等方面资料收集,分析不同疾病特征下经济负担及其相关影响因素。结果骨折部位、治疗方式、饮酒、住院天数等指标差异具有统计学意义(P<0.05)。多元线性回归分析得出骨折部位(髋部骨折设为哑变量参照,脊柱骨折β=-9863.338,桡骨远端骨折β=-9660.907)、治疗方式(β=-17741.227)、住院天数(β=778.650)可影响疾病经济负担(P<0.05)。结论骨质疏松性骨折患者疾病负担重,对髋部骨折、手术治疗和住院时间较长者应给予更多关注。

Objective This study aims to understand the economic burden of hospitalized patients with osteoporotic fractures in tertiary hospitals and analyze the related influencing factors,providing reference for disease management and medical payment policies.Methods Retrospective data collection,including case data review and telephone interviews,was conducted to collect demographic information,diagnosis and treatment conditions,and hospitalization costs of patients with osteoporotic fractures.The economic burden and related influencing factors were analyzed based on different disease characteristics.Results There were statistically significant differences in fracture site,treatment method,alcohol consumption,and hospitalization days(P<0.05).Multiple linear regression analysis revealed that fracture site(with hip fracture set as the reference dummy variable,β=-9863.338 for spinal fracture,β=-9660.907 for distal radius fracture),treatment method(β=-17741.227),and hospitalization days(β=778.650)had an impact on the economic burden of the disease(P<0.05).Conclusion Patients with osteoporotic fractures bear a heavy disease burden.More attention should be given to patients with hip fractures,those undergoing surgical treatment,and those with longer hospitalization days.