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目的了解暴力性伤害住院患者直接经济负担及变化趋势,预测2009—2011年暴力性伤害患者住院费用,为暴力性伤害的防治和降低其疾病负担提供理论依据。方法对甘肃省整群抽取的2所综合医院1994—2008年收治的2 141例暴力性伤害患者的住院费用进行回顾性分析。结果 1994—2008年暴力性伤害患者人均住院费用(GHCs/P)、日均住院费用(GHCs/D)分别为2 849.57、270.87元,均呈逐年上升趋势(P=0.000);平均住院日为10.52 d,呈逐年下降趋势(rs=-0.868,P=0.000);GHCs/P、GHCs/D和平均住院日年度变化百分比(EAPC)分别为9.88%、13.47%和-3.27%;暴力性伤害住院患者例均住院费用中,医疗服务费、药费、检验费、治疗费、手术费和其他费用分别占3.87%、45.83%、13.34%、19.58%、16.56%和0.82%;医疗服务费、药费、检验费、治疗费和手术费均呈正相关(P<0.05),其EAPC依次为19.36%、8.54%、12.52%、2.94%和27.25%。结论暴力性伤害患者直接经济负担呈逐年增长趋势,高比例的药费和快速上升的手术费是其增长的主要原因。
Objective To understand the direct economic burden and trend of inpatients with violent injuries and predict the cost of hospitalization of violently injured patients in 2009-2011, so as to provide a theoretical basis for prevention and reduction of the burden of disease. Methods A retrospective analysis was performed on the hospitalization costs of 2 141 cases of violent injuries admitted to the two general hospitals in Gansu Province collected during 1994-2008. Results The average hospitalization costs (GHCs / P) and average daily hospitalization costs (GHCs / D) of the victims with violent injuries in 1994-2008 were respectively 2 849.57 and 270.87 yuan, showing an upward trend year by year (P = 0.000). The average length of stay was 10.52 d, showing a declining trend year by year (rs = -0.868, P = 0.000); annual changes in percentage of GHCs / P, GHCs / D and average length of stay were 9.88%, 13.47% and -3.27% Hospitalization costs were 3.87%, 45.83%, 13.34%, 19.58%, 16.56% and 0.82% respectively for hospitalization expenses, medical expenses, medical expenses, testing fees, medical expenses, medical expenses, The costs of medicine, examination, treatment and surgery were positively correlated (P <0.05). The EAPCs were 19.36%, 8.54%, 12.52%, 2.94% and 27.25%, respectively. Conclusions The direct economic burden of violent injury shows a trend of increasing year by year. The high proportion of medical expenses and the rapid increase of operating costs are the main reasons for its increase.