论文部分内容阅读
目的了解山东省老年医保患者住院费用情况,探讨老年医保患者住院费用影响因素,为降低老年人疾病经济负担提供依据。方法基于第五次国家卫生服务调查山东省的部分数据,选取≥60岁的老年医保住院患者1 184例,利用SPSS 17.0软件包对老年医保患者住院费用进行统计描述、聚类分析和相关分析,用Amos 21.0软件包进行影响因素路径分析。结果山东省老年医保患者人均住院费用为10 993.78元,中位数为5 000元,人均住院天数为13.77 d;聚类分析结果显示,20.8%的老年患者住院费用偏高,50.9%的患者住院费用中等,28.3%的患者住院费用较低。路径分析结果显示,住院天数、医院级别、是否手术是影响住院费用的主要因素,路径系数分别为0.435、0.374、-0.271;医院级别、居住地、婚姻状况可通过影响住院天数间接影响住院费用,间接路径系数分别为0.035、0.035、0.028。结论多种因素共同作用影响住院费用,可探索多种方式减轻老年医保住院患者的费用。
Objective To understand the cost of hospitalization of geriatric patients in Shandong Province and to explore the influencing factors of hospitalization costs of geriatric insurance in order to provide the basis for reducing the economic burden of geriatric diseases. Methods Based on the data from the Fifth National Health Service Survey in Shandong Province, 1 184 cases of elderly medical insurance inpatients ≥60 years old were selected. The hospitalization expenses of the elderly medical insurance were statistically described, clustered and correlated with SPSS 17.0 software package, Path Analysis of Influencing Factors with Amos 21.0 Software Package. Results The average per capita hospitalization cost was 10 993.78 yuan and the median hospitalization was 5 000 yuan in Shandong Province. The average length of hospitalization per day was 13.77 days. Cluster analysis showed that 20.8% of the elderly patients had higher hospitalization expenses and 50.9% of the patients were hospitalized Expensive, 28.3% of patients have lower hospitalization costs. Path analysis showed that hospitalization days, hospital levels and whether surgery was the main factor affecting hospitalization costs, the path coefficients were 0.435,0.374, -0.271, respectively. Hospital grade, place of residence and marital status could affect hospitalization costs indirectly by influencing hospitalization days, Indirect path coefficients were 0.035,0.035,0.028. Conclusions The combination of many factors affects the cost of hospitalization and various ways of alleviating the cost of hospitalization for geriatric care can be explored.