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目的了解宁波市老年人住院直接费用及其影响因素,为降低老年人医疗费用和医疗卫生改革提供可行性建议。方法利用宁波市第四次卫生服务调查相关数据,采用t检验和方差分析对宁波市老年人医疗费用进行单因素分析;采用Logistic回归模型进行多因素分析。结果宁波市老年人次均住院直接医疗费用为6 000元,直接非医疗费用为500元。影响宁波市老年人次均住院直接医疗费用的因素为城乡地域、就诊医疗机构的级别、人均年收入和医疗保障类型。结论宁波市老年人住院直接费用受多种因素影响,可采取相应措施,使老年人医疗费用控制在合理水平。
Objective To understand the direct costs of hospitalized elderly people in Ningbo and its influencing factors, and to provide feasible suggestions to reduce the medical expenses and health care reform for the elderly. Methods Based on the data of the fourth health service survey in Ningbo City, t test and analysis of variance were used to univariate analyze the medical costs of the elderly in Ningbo City. Logistic regression model was used to analyze multivariate analysis. Results The average cost of hospitalization for the elderly in Ningbo city was 6,000 yuan, and the direct non-medical expenses were 500 yuan. The factors influencing the average hospitalization cost of the elderly in Ningbo are urban and rural areas, the level of medical institutions, annual per capita income and types of medical insurance. Conclusion The direct costs of hospitalization for the elderly in Ningbo are affected by many factors and corresponding measures can be taken to control the medical expenses of the elderly to a reasonable level.