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目的通过分析影响艾滋病住院患者住院费用的主要因素,为满足我国艾滋病患者的医疗服务需求,节约医疗成本提供一定的科学依据。方法对2008年1月～2010年12月河南省某三级传染病专科医院所有进行过艾滋病抗病毒治疗的1 423名艾滋病住院患者进行问卷调查,对住院总费用的影响因素进行单因素分析和多元回归分析。结果单因素分析显示,不同性别、CD4基线水平和职业的艾滋病患者的住院总费用之间差异有统计学意义(P<0.01或P<0.05),不同年龄和住院次数间差异无统计学意义(P>0.05);随着住院天数的延长,患者的医疗费用递增(P<0.01)。多元线性回归分析显示,住院天数、CD4基线水平是住院总费用的影响因素。结论艾滋病住院患者的医疗费用与住院天数及CD4基线水平有关。
Objective To analyze the main factors that affect hospitalization costs of AIDS patients and provide scientific basis for meeting the medical service demand of AIDS patients in our country and saving medical costs. Methods A total of 1 423 inpatients with HIV / AIDS who were treated with HIV / AIDS in a tertiary infectious disease specialist hospital in Henan Province from January 2008 to December 2010 were surveyed. The influencing factors of the total cost of hospitalization were analyzed by univariate analysis and Multiple regression analysis. Results Univariate analysis showed that there was a significant difference in the total cost of hospitalization between AIDS patients with different gender, baseline CD4 level and occupation (P <0.01 or P <0.05), and there was no significant difference between different ages and hospitalizations P> 0.05). With the extension of hospitalization, the medical expenses of patients increased (P <0.01). Multivariate linear regression analysis showed that hospitalization days and baseline CD4 level were the influential factors in the total cost of hospitalization. Conclusion The hospitalization costs of AIDS patients are related to the days of hospitalization and the baseline level of CD4.