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目的分析乙型病毒性肝炎(乙肝)患者住院天数及其影响因素,寻找节约医疗资源的途径。方法采用整群抽样的方法,在一定调查时间内,从调查医院中选取所有符合条件的各型乙肝住院患者作为研究对象,共742例病例。采用SPSS 13.0软件进行单因素方差分析,采用多元逐步回归方法进行多因素分析。结果乙肝患者中城镇基本医疗保险、农村合作医疗、自费医疗的比例分别为50.67%、41.11%和8.22%。医疗保险类型、医院类型、抗病毒治疗和疾病类型是影响乙肝患者住院天数的主要因素。医疗保险类型中城镇基本医疗保险的患者住院天数最长,农村合作医疗和自费医疗的患者住院天数差异无统计学意义。结论加强影响乙肝患者住院天数可控因素的控制,特别是医疗保险类型,从而有利于减轻乙肝患者的经济负担,节约医疗资源。
Objective To analyze the days of hospitalization and its influencing factors in patients with hepatitis B virus (HBV) and find ways to save medical resources. Methods A cluster sampling method was used to select all eligible inpatients with hepatitis B from a surveyed hospital within a certain period of investigation for a total of 742 cases. One-way analysis of variance (ANOVA) was performed using SPSS 13.0 software and multivariate analysis was performed using multivariate stepwise regression. Results Among the hepatitis B patients, the proportions of urban basic medical insurance, rural cooperative medical care and self-paid medical care were 50.67%, 41.11% and 8.22% respectively. The type of medical insurance, the type of hospital, the type of antiviral treatment and the type of disease are the major factors that influence the number of hospital stays in patients with hepatitis B. The patients with basic medical insurance in urban areas had the longest hospitalization days in medical insurance, and there was no significant difference in the number of days hospitalized between rural cooperative medical care and self-paid medical institutions. Conclusion To strengthen the control over the controllable factors of inpatient days of hepatitis B patients, especially the types of medical insurance, so as to reduce the economic burden of hepatitis B patients and save medical resources.