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目的了解成都市第五人民医院糖尿病患者住院费用情况,探讨影响住院费用的相关因素,为有效控制医疗费用提供参考。方法采用横断面调查设计,从成都市第五人民医院HIS系统中收集2014年1月~9月出院第一诊断为“糖尿病”(ICD-10前三位码为E10至E14)的住院患者病案首页资料,对患者的一般情况及住院费用进行统计描述后,对住院费用的影响因素采用方差分析进行单因素和采用多元线性回归分析进行多因素分析。统计分析采用SPSS 18.0软件。结果共纳入1 389例糖尿病患者,其住院总费用中位数为4 554.45元,日均费用中位数为446.46元。不同并发症情况的患者住院总费用和日均费用不同,差异有统计学意义(P<0.001)。多元线性回归分析结果表明,年龄、医疗付费方式、并发症数量、急性并发症、CCI评分、住院天数是影响糖尿病患者住院总费用的主要影响因素(P<0.05)。结论成都市第五人民医院糖尿病患者年龄、医疗付费方式、并发症数量、急性并发症、CCI评分、住院天数均可影响糖尿病患者住院费用。
Objective To understand the hospitalization expenses of diabetic patients in the Fifth People’s Hospital of Chengdu and to explore the related factors that affect the hospitalization expenses and to provide reference for the effective control of medical expenses. Methods The cross-sectional survey design was used to collect the first hospitalized diagnosis of “diabetes” (ICD-10 E10 to E14) from January 2014 to September 2014 from the HIS system of Chengdu Fifth People’s Hospital. After analyzing the general condition of patients and the cost of hospitalization, the influencing factors of hospitalization cost were analyzed by ANOVA with single factor and multivariate linear regression analysis. Statistical analysis using SPSS 18.0 software. Results A total of 1 389 diabetics were enrolled. The median total cost of hospitalization was 4 554.45 yuan, with a median daily cost of 446.46 yuan. Patients with different complications of hospitalization costs and average daily costs are different, the difference was statistically significant (P <0.001). Multivariate linear regression analysis showed that age, medical payment, the number of complications, acute complications, CCI score and hospitalization days were the main factors influencing the total cost of hospitalization for diabetic patients (P <0.05). Conclusion The age, medical payment method, number of complications, acute complications, CCI score and length of stay in diabetic patients in the Fifth People’s Hospital of Chengdu all affect the hospitalization costs of diabetic patients.