贵州省某三甲公立医院1093例糖尿病患者住院费用结构及西药费影响因素分析

Analysis on Hospital Expenses of 1093 Diabetic Patients and Influencing Factors of Western Medicine Cost in a Guizhou Certain Grade A Tertiary Public Hospital

目的:分析贵州省某三甲医院糖尿病患者住院费用及西药费影响因素,以期为减轻患者经济负担、进一步优化医保政策、提高公众防病意识提供参考依据。方法:收集该医院2022年1093例糖尿病患者信息,对住院总费用构成进行逐步回归分析,对西药费影响因素进行K-W检验分析。结果:糖尿病患者住院总费用的中位数为17158.24元,对住院总费用影响最大的费用是西药费(P<0.05),不同性别、年龄、住院天数、诊断、是否有并发症等住院西药费的差异存在统计学意义(P<0.05)。结论:该院糖尿病患者住院费用较高,可从实施临床路径管理、完善医保政策等方面控制西药费,合理控制疾病直接经济负担,并努力提高公众预防糖尿病的意识。

Objective:To analyze the influencing factors of hospitalization cost and western medicine cost for diabetic patients in a certain grade A tertiary hospital in Guizhou Province,so as to provide reference for reducing the economic burden of patients,further optimizing the medical insurance policy and improving the public awareness of disease prevention.Method:The data of 1093 patients with diabetes mellitus in the hospital in 2022 were collected.The influencing factors of total inpatient expenses were analyzed by step⁃wise regression analysis,and the influencing factors of western medicine expenses were analyzed by Kruskal-Walli rank sum test.Result:The median total inpatient expenses of diabetic patients in a third-class A hospital in Guizhou Province was 17,158.24 yuan,and the cost of western medicine had the greatest impact on the total inpatient expenses(P<0.05).There were statistically significant dif⁃ferences in hospitalization costs of diabetes patients with different gender,age,hospitalization days,diagnosis and complications(P<0.05).Conclusion:The hospitalization cost of diabetes patients in Guizhou Province is relatively high.We can control the cost of west⁃ern medicine by implementing clinical pathway management and improving medical insurance policy,so as to gradually raise the pub⁃lic awareness of preventing diabetic diseases and reasonably control the direct economic burden of diseases.