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目的:了解包虫病住院患者费用及其影响因素,为有效降低包虫病医疗费用提供依据。方法:对2007—2011年新疆兵团某三级甲等医院囊性包虫病患者住院费用及病例首页资料用Excel 2003建立数据库,采用SPSS 17.0软件进行统计描述,对影响因素采用方差分析、多元逐步回归分析。结果:2007—2011年共收治269例住院病人,以汉族为主占81%;平均住院日19天,人均住院费用15 565.65元,年增长率为12.3%。患者以30~45岁年龄为主;60~75岁组人均住院费用最高为18 423.37元。治愈患者总费用最高,人均19 442.61元,其中药品费人均6 284.01元,占40.4%。结论:虽然国家对包虫病人进行手术费用补助,但个人仍需承担较多费用。建议政府通过规范住院费用标准,严格控制药品费用,以解决包虫病治疗经费不断上涨的问题,有效减轻包虫病人的经济负担。
OBJECTIVE: To understand the cost of hospitalized patients with hydatid disease and its influencing factors, so as to provide basis for effectively reducing the medical costs of hydatid disease. Methods: From 2007 to 2011, the first hospital in Xinjiang Corps a cystic echinococcosis patients with hospitalization costs and cases Home Page Data Excel 2003 to establish a database using SPSS 17.0 software for statistical description of the impact of variance analysis, multiple step by step regression analysis. Results: A total of 269 inpatients were admitted in 2007-2011, accounting for 81% of Han people. The average length of stay was 19 days and the average hospitalization expense was 15 565.65 yuan, with an annual growth rate of 12.3%. The patients were mainly aged 30-45 years old. The highest per capita hospitalization expenses were 18 423.37 yuan in 60-75 years old group. The total cost of cured patients was the highest, with a per capita amount of 19,442.61 yuan, of which per capita drug cost was 6,284.01 yuan, accounting for 40.4%. Conclusion: Although the national subsidies for hydatid disease surgery costs, but individuals still have to bear more costs. It is suggested that the government should strictly control the cost of drugs by standardizing the cost of hospitalization in order to solve the problem of the rising funding of hydatid disease treatment and effectively reduce the economic burden of hydatid disease patients.