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目的通过对2004-2009年天津市2型糖尿病患者住院费用的研究,探讨天津市2型糖尿病患者住院费用的构成情况及其发展趋势。方法对2004-2009年在天津医科大学代谢病医院住院患者病案进行随机抽样,运用多个独立样本检验、多元线性回归等统计方法,分析住院费用及其构成情况。结果患者住院费用按住院天数、血压情况、并发症数分组,各组间的差异均有统计学意义(P<0.05)。其中,住院天数、并发症数、患者性别、费用类别、血压均与住院费用呈直线相关。在患者住院费用中,药费占55.50%,其次为化验费(15.36%)、检查费(6.89%)和治疗费(6.76%),以上4项费用占住院费用的84.51%。自2006年起,住院费用呈逐年上升趋势。化验费在2008年、2009年上升较快,2009年较2004年上升了0.68倍。但诊疗费、其他费用及自费部分呈下降趋势,其中治疗费波动较大,且其变化与住院费用呈相反趋势。结论居民个人必须加强健康教育,提高糖尿病的认知,通过自我监控,最大限度的减少糖尿病的发生并控制其发展,改善生活质量,减轻自身和社会的经济负担。
Objective To study the cost of hospitalization for patients with type 2 diabetes mellitus in Tianjin in 2004-2009 and to discuss the composition of hospitalization expenses and its development trend in patients with type 2 diabetes in Tianjin. Methods From 2004 to 2009, the medical records of inpatients at the Metabolic Hospital of Tianjin Medical University were randomly selected. Statistical methods such as multiple independent sample tests and multivariate linear regression were used to analyze the hospitalization expenses and their composition. Results The hospitalization expenses were grouped according to the days of hospitalization, blood pressure and complications, and the differences among the groups were statistically significant (P <0.05). Among them, the days of hospitalization, complications, gender, cost categories, blood pressure and hospital costs were linearly related. Among the hospitalized patients, 55.50% of them took medicine, followed by laboratory test (15.36%), examination (6.89%) and treatment (6.76%), all of which accounted for 84.51% of hospitalization expenses. Since 2006, hospitalization costs have been increasing year by year. Laboratory fees in 2008, 2009 rose rapidly in 2009 compared with 2004 increased by 0.68 times. However, the medical treatment fees, other expenses and self-pay part showed a downward trend, of which the treatment fee fluctuated greatly, and the change showed opposite trend with the hospitalization fee. Conclusion Individual residents must strengthen their health education and improve their cognition of diabetes. By means of self-monitoring, they should minimize the incidence of diabetes and control their development, improve their quality of life, and reduce the financial burden on themselves and their society.