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目的了解烟台市戊型肝炎(戊肝)患者的住院费用构成情况,分析患者住院费用的影响因素。方法利用医院信息系统,从收治当地大部分戊肝病例的3家医院中收集2014年1月~2015年3月出院的全部戊肝病例,采用描述性分析、单因素分析及多重线性回归分析,分析戊肝患者住院费用的构成情况及其影响因素。结果烟台市市级医院戊肝患者的平均住院费用为(21 959.62±12 069.73)元,以药品费和治疗费为主;区级医院戊肝患者的平均住院费用为(8 280.68±6 821.52)元,以药品费和化验费为主;住院天数和基础疾病对戊肝患者住院费用的影响较大(P<0.05),住院天数要强于基础疾病。结论加强药品监督,减少不必要的检查项目,缩短患者住院天数,加强对重点人群尤其老年人的保护,以控制戊肝患者住院费用,减轻患者疾病负担。
Objective To understand the composition of hospitalization expenses for patients with hepatitis E (hepatitis E) in Yantai and analyze the influencing factors of hospitalization expenses. Methods Using the hospital information system, all the hepatitis E cases discharged from January 2014 to March 2015 were collected from 3 hospitals that treated most of the cases of hepatitis E in the local area. Using descriptive analysis, univariate analysis and multiple linear regression analysis, Analysis of the composition of hospitalized patients with hepatitis E and its influencing factors. Results The average cost of hospitalization for patients with hepatitis E in Yantai municipal hospital was (21 959.62 ± 12 069.73) yuan, with the main item being drug cost and treatment cost. The average hospitalization expense of patients with hepatitis E in district hospital was (8 280.68 ± 6 821.52) Yuan, mainly on drug charges and laboratory tests. The days of hospitalization and underlying diseases had a significant impact on the hospitalization expenses of patients with hepatitis E (P <0.05), and hospitalization days were stronger than those of underlying diseases. Conclusion Intensify drug supervision, reduce unnecessary inspection items, shorten the hospitalization days, and strengthen the protection of key populations, especially the elderly, in order to control the hospitalization expenses of patients with hepatitis E and reduce the burden of disease.