甘肃省棘球蚴病定点医院棘球蚴病手术患者住院费用影响因素分析

doi:10.12140/j.issn.1000-7423.2024.04.006

中国寄生虫学与寄生虫病杂志 ›› 2024, Vol. 42 ›› Issue (4): 461-468.doi: 10.12140/j.issn.1000-7423.2024.04.006

甘肃省棘球蚴病定点医院棘球蚴病手术患者住院费用影响因素分析

徐丹¹^,²^,³(), 严俊²^,³^,⁴, 闫欢⁵, 贺洪峰⁶, 梁天虎¹, 赵俊贤¹, 陈耀龙¹, 李汛²^,³^,⁴^,^*()

1 兰州大学第一医院临床医学研究中心，甘肃兰州 730000
2 兰州大学第一医院普通外科国家临床重点专科，甘肃兰州 730000
3 兰州大学第一医院甘肃省普通外科临床医学研究中心，甘肃兰州 730000
4 甘肃省生物治疗与再生医学重点实验室，甘肃兰州 730000
5 兰州大学第一医院骨科一病区，甘肃兰州 730000
6 兰州大学公共卫生学院，甘肃兰州 730000

收稿日期:2024-04-09 修回日期:2024-06-30 出版日期:2024-08-30 发布日期:2024-08-21
通讯作者: *李汛（1972—），男，博士，主任医师，从事肝胆胰外科工作。E-mail：lxdr21@126.com
作者简介:徐丹（1991—），女，本科，护师，从事棘球蚴病管理工作。E-mail：xudan0312@163.com
基金资助:
甘肃省卫生健康行业科研计划(GSWSHL2021-019)

Analysis on influencing factors of hospitalization costs of echinococcosis surgery patients in designated echinococcosis hospital in Gansu Province

XU Dan¹^,²^,³(), YAN Jun²^,³^,⁴, YAN Huan⁵, HE Hongfeng⁶, LIANG Tianhu¹, ZHAO Junxian¹, CHEN Yaolong¹, LI Xun²^,³^,⁴^,^*()

1 Research Center for Clinical Medicine, the First Hospital of Lanzhou University, Lanzhou 730000, Gansu, China
2 National Clinical Key Specialty of General Surgery of the First Hospital of Lanzhou University, Lanzhou 730000, Gansu, China
3 Gansu Clinical Medical Research Center of General Surgery, the First Hospital of Lanzhou University, Lanzhou 730000, Gansu, China
4 Key Laboratory of Biotherapy and Regenerative Medicine of Gansu Province, Lanzhou 730000, Gansu, China
5 Department of Orthopedics, the First Hospital of Lanzhou University, Lanzhou 730000, Gansu, China
6 School of Public Health, Lanzhou University, Lanzhou 730000, Gansu, China

Received:2024-04-09 Revised:2024-06-30 Online:2024-08-30 Published:2024-08-21
Contact: *E-mail: lxdr21@126.com
Supported by:
Gansu Province Health Industry Scientific Research Project(GSWSHL2021-019)

摘要/Abstract

摘要：

目的分析甘肃省级棘球蚴病定点医院棘球蚴病手术患者的住院费用及其影响因素，为有效控制棘球蚴病医疗费用提供依据。方法收集甘肃省级棘球蚴病定点医院2014年1月—2023年12月行外科手术的棘球蚴病患者资料，包括患者基本资料（住院年份、性别、职业、年龄、医保类型、民族）、临床资料（入院途径、是否转科、住院时间、棘球蚴病类型、疾病转归、有无并发症、棘球蚴寄生部位、手术方式）和住院费用资料（住院总费用、手术费用、西药费用、耗材费用、诊断费用、其他费用）。采用SPSS 29.0统计软件进行数据分析，住院费用用中位数表示，单因素分析中非正态分布数据两组间比较使用Mann-Whitney U检验、多组间比较使用Kruskal-Wallis H检验，多因素分析采用多元线性回归方法。结果共收集540例棘球蚴病手术患者资料，其中细粒棘球蚴病患者504例，多房棘球蚴病患者36例；女性280例，男性260例。住院总费用合计2 080.98万元，人均住院费用38 528.41元，住院费用中位数为33 732.87元。棘球蚴病患者人均住院费用从2014年的31 276.59元上升至2023年的45 902.34元。男、女住院费用中位数分别为35 232.35、31 891.16元，二者差异有统计学意义（Z = -2.343，P < 0.05）；≥ 61岁患者住院费用中位数最高，为35 233.75元，不同年龄间住院费用差异有统计学意义（P < 0.05）；个体患者住院费用中位数最高，为39 843.04元，不同职业住院费用差异有统计学意义（P < 0.05）；东乡族患者住院费用中位数最高，为65 401.29元，不同民族住院费用差异有统计学意义（P < 0.05）；转入ICU患者住院费用中位数为62 720.04元，高于未转科患者的32 526.89元（Z = -7.440，P < 0.05）；住院时间≥ 21 d患者住院费用中位数最高，为54 433.71元，不同住院时间住院费用差异有统计学意义（P < 0.05）；多房棘球蚴病患者住院费用中位数为43 949.85元，高于细粒棘球蚴病患者的33 555.82元（Z = -3.317，P < 0.05）；转院患者住院费用中位数最高，为104 536.50元，不同类型疾病转归患者住院费用差异有统计学意义（P < 0.05）；有并发症患者住院费用中位数为46 855.89元，高于无并发症患者的32 476.43元（Z = -6.060，P < 0.05）；肝脏棘球蚴病患者住院费用中位数为32 433.02元，低于多脏器棘球蚴病患者的43 550.83元（Z = -4.933，P < 0.05）；行肝移植患者住院费用中位数最高，为170 030.84元，不同手术方式住院费用差异有统计学意义（P < 0.05)。多元线性回归分析结果显示，棘球蚴病手术患者住院费用主要影响因素为年份（t = 5.937，P < 0.01）、年龄（t = 3.349，P < 0.01）、职业（t = 2.238，P < 0.05）、是否转科（t = 8.778，P < 0.01）、住院时间（t = 7.346，P < 0.01）、棘球蚴病类型（t = 6.049，P < 0.01）、有无并发症（t = 5.967，P < 0.01）、棘球蚴寄生部位（t = 3.767，P < 0.01）。结论 2014—2023年甘肃省级棘球蚴病定点医院棘球蚴病手术患者人均住院费用逐年上升，年份、年龄、职业、是否转科、住院时间、棘球蚴病类型、有无并发症、棘球蚴寄生部位等是影响住院费用的主要因素。

关键词: 棘球蚴病, 住院费用, 影响因素, 甘肃省

Abstract:

Objective To analyze the hospitalization cost of echinococcosis surgery patients and its influencing factors in Gansu provincial designated echinococcosis hospital, and to provide basis for effieicent management of the medical cost for echinococcosis. Methods Data of echinococcosis patients who underwent surgery at provincial designated hospital in Gansu Province from January 2014 to December 2023 were collected. The data included patients’ basic information (hospitalization year, gender, occupation, age, medical insurance type, ethnicity), clinical information (admission pathway, whether transferred from another department, length of hospital stay, type of echinococcosis, disease outcome, presence of complications, location of cyst, type of surgery), and hospitalization cost data (total hospitalization cost, surgery cost, western medicine cost, consumables cost, diagnostic cost, other costs). Data analysis was conducted using the SPSS 29.0 statistical software. Median was used to represent the hospitalization cost. In single factor analysis, Mann-Whitney U test was used for comparison between two groups, and Kruskal-Wallis H test for comparison among multiple groups for non normal distribution data. Multivariate analysis was performed using multiple linear regression. Results A total of 540 echinococcosis surgery patients’ data were collected, including 504 patients with cystic echinococcosis and 36 patients with alveolar echinococcosis; 280 females and 260 males, with a total combined hospitalization cost of 20 809 800 yuan, a per capita hospitalization cost of 38 528.41 yuan, and median hospitalization cost of 33 732.87 yuan. In 2014 versus 2023, the hospitalization costs for patients with echinococcosis per capita increased from 31 276.59 yuan to 45 902.34 yuan. The median hospitalization costs for male and female cases were 35 232.35 and 31 891.16 yuan, respectively, and the difference was statistically significant (Z = -2.343, P < 0.05); the median hospitalization cost for patients ≥ 61 years old was the highest, 35 233.75 yuan, and the cost difference between different ages was statistically significant (P < 0.05); the median hospitalization cost for individual patients was the highest, 39 843.04 yuan, and the difference in hospitalization costs between different occupations was statistically significant (P < 0.05); the median hospitalization cost for Dongxiang patients was the highest at 65 401.29 yuan, and the difference in hospitalization costs between different ethnic groups was statistically significant (P < 0.05); the median hospitalization cost for patients transferred to ICU was 62 720.04 yuan, higher than the 32 526.89 yuan for patients who were not transferred to the department, and the difference was statistically significant (Z = -7.440, P < 0.05); the median hospitalization cost of patients with hospitalization time ≥ 21 d was the highest at 54 433.71 yuan, and the difference in hospitalization cost between different hospitalization times was statistically significant (P < 0.05); the median hospitalization cost of patients with multilocular echinococcosis was 43 949.85 yuan, higher than that of patients with fine-grained echinococcosis at 33 555.82 yuan (Z = -3.317, P < 0.05); the median hospitalization cost of transferred patients was the highest at 104 536.50 yuan, and the difference in hospitalization costs for different types of disease transfer was statistically significant (P < 0.05); the median hospitalization cost among patients with complications was 46 855.89 yuan, higher than that of 32 476.43 yuan for patients without complications (Z = -6.060, P < 0.05); the median hospitalization cost of patients with hepatic echinococcosis was 32 433.02 yuan, which was lower than that of patients with multi-organ echinococcosis, which was 43 550.83 yuan (Z = -4.933, P < 0.05); the median hospitalization cost of patients who underwent liver transplantation was the highest, which was 170 030.84 yuan, and the difference in hospitalization costs between different surgical procedures was statistically significant (P < 0.05). The results of multivariate linear regression analysis showed that the main factors influencing the cost of hospitalization for patients undergoing surgery for echinococcosis were year of hospitalization (t = 5.937, P < 0.01), age (t = 3.349, P < 0.01), occupation (t = 2.238, P < 0.05), whether or not to transfer to a different department (t = 8.778, P < 0.01), length of hospitalization (t = 7.346, P < 0.01), type of echinococcosis (t = 6.049, P < 0.01), the presence or absence of complications (t = 5.967, P < 0.01), location of cyst (t = 3.767, P < 0.01). Conclusion The per capita hospitalization cost of echinococcosis surgery patients in provincial designated hospital increased year by year from 2014 to 2023, The main factors influencing of hospitalization costs include year, age, occupation, whether or not to transfer to a different department, length of hospitalization, type of echinococcosis, the presence or absence of complications and location of cyst.

Key words: Echinococcosis, Hospitalization expenses, Influencing factors, Gansu Province

中图分类号:

R532.3

徐丹, 严俊, 闫欢, 贺洪峰, 梁天虎, 赵俊贤, 陈耀龙, 李汛. 甘肃省棘球蚴病定点医院棘球蚴病手术患者住院费用影响因素分析[J]. 中国寄生虫学与寄生虫病杂志, 2024, 42(4): 461-468.

XU Dan, YAN Jun, YAN Huan, HE Hongfeng, LIANG Tianhu, ZHAO Junxian, CHEN Yaolong, LI Xun. Analysis on influencing factors of hospitalization costs of echinococcosis surgery patients in designated echinococcosis hospital in Gansu Province[J]. Chinese Journal of Parasitology and Parasitic Diseases, 2024, 42(4): 461-468.

图/表 4

表1

2014—2023年甘肃省级定点医院棘球蚴病患者住院费用构成情况

年份 Year	手术费用 Surgical costs		西药费用 Western medicine costs		耗材费用 Cost of consumables		诊断费用 Diagnostic costs		其他费用 Other expenses		总费用 Total costs
年份 Year	中位数/元（四分位间距/元） Median/Yuan (Interquartile/Yuan)	构成比/% Composition/%	中位数/元（四分位间距/元） Median/Yuan (Interquartile/Yuan)	构成比/% Composition/%	中位数/元（四分位间距/元） Median/Yuan (Interquartile/Yuan)	构成比/% Composition/%	中位数/元（四分位间距/元） Median/Yuan (Interquartile/Yuan)	构成比/% Composition/%	中位数/元（四分位间距/元） Median/Yuan (Interquartile/Yuan)	构成比/% Composition/%	中位数/元（四分位间距/元） Median/Yuan (Interquartile/Yuan)	构成比/% Composition/%
2014	4 504.50 （1 594.45）	15.6	12 109.51 （6 669.20）	47.1	1 910.82（2 311.86）	11.1	3 850.00 （1 573.78）	14.2	2 660.90（1 929.94）	12.0	27 054.33（12 268.00）	100
2015	5 020.90 （2 594.40）	17.5	12 699.87 （8 096.34）	44.8	2 624.06（2 544.13）	12.1	4 374.25 （2 322.95）	15.4	2 593.60（1 917.70）	10.2	28 950.78（13 956.28）	100
2016	5 208.30（2 993.45）	15.4	12 518.51（12 303.15）	45.6	2 970.96（2 631.16）	11.8	4 975.55 （1 970.00）	15.2	2 592.05（2 719.00）	12.1	31 844.02 （13 963.15）	100
2017	7 364.00（2 634.65）	22.3	9 905.59 （8 727.04）	36.7	2 823.48（2 627.20）	11.6	5 617.80 （2 083.30）	16.9	3 442.69（2 512.04）	12.5	31 398.14 （16 918.51）	100
2018	10 160.50 （4 386.88）	30.0	7 744.07 （4 666.37）	25.5	2 289.20（2 325.00）	10.4	5 935.75 （4 209.88）	18.3	4 332.19（3 710.06）	15.8	30 850.39 （13 546.43）	100
2019	10 580.50 （4 486.00）	28.7	8 541.66 （5 517.14）	24.7	4 014.54（5 032.30）	17.2	5 846.00 （2 918.00）	17.7	3 605.23（2 213.23）	11.6	34 385.75 （15 454.93）	100
2020	10 807.50 （4 923.00）	27.1	8 785.47 （7 558.26）	26.6	3 911.18（3 870.38）	14.1	6 827.50 （4 668.75）	20.9	3 692.50（2 476.54）	11.4	36 577.94 （17 561.82）	100
2021	9 759.50 （4 169.00）	26.6	8 014.12 （3 463.83）	22.1	5 318.90（4 833.24）	19.8	7 439.00 （4 248.50）	20.1	3 918.50（2 516.00）	11.4	35 687.65（17 990.87）	100
2022	11 749.25 （3 834.63）	30.2	7 549.39 （5 349.57）	19.4	5 464.98（5 001.73）	17.8	7 524.50 （4 515.88）	20.2	3 887.50（2 771.75）	12.4	39 421.68（16 299.23）	100
2023	11 038.00 （5 285.00）	25.9	8 511.17 （6 057.80）	22.3	7 794.05（7 523.30）	21.9	7 280.00 （3 869.50）	17.5	4 870.60（2 675.50）	12.5	40 291.50（23 121.97）	100

表1

表2

2014—2023年甘肃省级定点医院棘球蚴病手术患者基本信息和住院费用

分类 Categorization	病例数/例 No. cases/case	占比/％ Percentage/%	住院总费用中位数/元 Median total hospitalization costs/Yuan
性别 Gender
女 Female	280	51.9	31 891.16
男 Male	260	48.1	35 232.35
年龄组/岁 Age group/Year
≤ 20	16	2.9	23 094.78
21~40	97	18.0	31 547.76
41~60	323	59.8	33 694.61
≥ 61	104	19.3	35 233.75
职业 Occupation
农牧民 Farmers and herdsmen	447	82.8	33 694.61
工人 Workers	35	6.5	32 086.24
干部 Functionary	17	3.1	32 238.67
退（离）休人员 Retiree	14	2.6	36 899.60
学生 Schoolchildren	12	2.2	23 094.78
个体 Self-employed	15	2.8	39 843.04
民族 Ethnic group
汉族 Han	454	84.1	33 870.42
藏族 Zang	35	6.5	29 578.24
回族 Hui	37	6.9	33 905.31
东乡族 Dongxiang	8	1.5	65 401.29
其他 Other	6	1.0	21 121.83
医保类型 Type of medical insurance
城镇职工基本医保 Basic medical insurance for urban workers	40	7.4	33 483.69
城镇居民基本医保 Basic medical insurance for urban residents	222	41.1	34 298.88
新型农村合作医保 New rural cooperative medical insurance	202	37.4	32 496.88
全自费 Fully self-financed	19	3.5	28 895.83
其他 Other	57	10.6	34 646.25
入院途径 Pathway to hospitalization
急诊 Emergency call	21	3.9	32 120.25
门诊 Outpatient service	501	92.8	33 694.61
转诊 Referral	18	3.3	36 976.76
是否转科 Whether or not to transfer
无 No	505	93.5	32 526.89
转ICU ICU transfer	35	6.5	62 720.04
住院时间/d Length of hospitalization/d
0~10	92	17.0	27 515.59
11~20	371	68.7	33 348.51
≥ 21	77	14.3	54 433.71
棘球蚴病类型 Types of echinococcosis
细粒棘球蚴病 Cystic echinococcosis	504	93.3	33 555.82
多房棘球蚴病 Alveolar echinococcosis	36	6.7	43 949.85
疾病转归 Disease regression
痊愈 Heal	304	56.3	32 250.26
好转 Improve	235	43.5	35 232.35
转院 Transfer to hospital	1	0.2	104 536.50
有无并发症 Any complications
无 No	493	91.3	32 476.43
有 Yes	47	8.7	46 855.89
棘球蚴寄生部位 Location of cyst
肝脏 Liver	451	83.5	32 433.02
多脏器 Multi-organ	89	16.5	43 550.83
手术方式 Type of surgery
外囊完整剥除术 Complete cystectomy	198	36.7	32 355.63
内囊摘除术 Endocystectomy	130	24.1	29 545.46
内囊 + 外囊摘除术 Endocystectomy + cystectomy	104	19.2	33 743.71
肝部分切除术 Partial hepatectomy	69	12.8	41 713.35
腹腔镜下包虫切除术 Laparoscopic hidatid-ectomy	37	6.8	36 937.62
肝移植 Liver transplant	2	0.4	170 030.84

表2

表3

2014—2023年甘肃省级定点医院棘球蚴病患者住院总费用单因素分析

研究变量 Research variables	检验值 Test value	P值 P value
手术年份 Operation year		< 0.05^b
性别 Gender（0 = 女 Female，1 = 男 Male）	Z = -2.343	< 0.05^a
年龄 Age（1 = ≤ 20岁 ≤ 20 years，2 = 21~40岁 21-40 years，3 = 41~60岁 41-60 years，4 = ≥ 61岁 ≥ 61 years）		< 0.05^b
职业 Occupation（1 = 农牧民 Farmers and herdsmen，2 = 工人 Workers，3 = 干部 Functionary，4 = 退（离）休人员 Retiree，5 = 学生 Schoolchildren，6 = 个体 Self-employed）		< 0.05^b
民族 Ethnic group（1 = 汉 Han，2 = 藏 Tibetan，3 = 回 Hui ethnic group，4 = 东乡 Dongxiang ethnic group，5 = 其他 Other）		< 0.05^b
医保类型 Type of medical insurance（1 = 城镇职工基本医保 Basic medical insurance for urban workers，2 = 城镇居民基本医保 Basic medical insurance for urban residents，3 = 新型农村合作医保 New rural cooperative medical insurance，4 = 全自费 Fully self-financed，5 = 其他 Other）		> 0.05^b
入院途径 Pathway to hospitalization（1 = 急诊 Emergency call，2 = 门诊 Outpatient service，3 = 转诊 Referral）		> 0.05^b
是否转科ICU Whether or not to transfer ICU（0 = 否 No，1 = 是 Yes）	Z = -7.440	< 0.05^a
住院时间 Length of hospitalization（1 = 0~10 d，2 = 11~20 d，3 = ≥ 21 d）		< 0.05^b
棘球蚴病类型 Types of echinococcosis（1 = 细粒棘球蚴病 Cystic echinococcosis，2 = 多房棘球蚴病 Alveolar echinococcosis	Z = -3.317	< 0.05^a
疾病转归 Disease regression（1 = 痊愈 Heal，2 = 好转 Improve，3 = 转院 Transfer to hospital）		< 0.05^b
有无并发症 Any complications（0 = 无 No，1 = 有 Yes）	Z = -6.060	< 0.05^a
棘球蚴寄生部位 Location of cyst（1 = 肝脏 Liver，2 = 多脏器 Multi-organ）	Z = -4.933	< 0.05^a
手术方式 Type of surgery（1 = 外囊完整剥除术 Complete debridement of the external capsule，2 = 内囊摘除术 Endocystectomy，3 = 内囊 + 外囊摘除术 Internal + external capsule removal，4 = 肝部分切除术 Partial hepatectomy，5 = 腹腔镜下包虫切除术 Laparoscopic peritonectomy，6 = 肝移植 Liver transplant）		< 0.05^b

表3

表4

参考文献 28

[1]	Wang TP, Cao ZG. Current status of echinococcosis control in China and the existing challenges[J]. Chin J Parasitol Parasit Dis, 2018, 36(3): 291-296. (in Chinese)
	(汪天平, 操治国. 中国棘球蚴病防控进展及其存在的问题[J]. 中国寄生虫学与寄生虫病杂志, 2018, 36(3): 291-296.)
[2]	Yu DW, Ding GW, Hou YD, et al. Clustering analysis of hydatid disease in Gansu Province[J]. Chin J Parasitol Parasit Dis, 2015, 33(4): 280-282. (in Chinese)
	(余大为, 丁国武, 侯言东, 等. 甘肃省细粒棘球蚴病聚类分析[J]. 中国寄生虫学与寄生虫病杂志, 2015, 33(4): 280-282.)
[3]	Ailiyali AL, Sun L, Li BL, et al. The economic burden of echinococcosis in China: a systematic review[J]. Chin J Evid Based Med, 2019, 19(12): 1416-1422. (in Chinese)
	(艾力亚力•艾力, 孙立, 李波霖, 等. 中国包虫病患者经济负担研究的系统评价[J]. 中国循证医学杂志, 2019, 19(12): 1416-1422.)
[4]	Zhang MY, Wu WP. Advances in study of the burden of echinococcosis in China and elsewhere around the world[J]. J Pathog Biol, 2017, 12(5): 473-475. (in Chinese)
	(张梦媛, 伍卫平. 国内外包虫病疾病负担研究进展[J]. 中国病原生物学杂志, 2017, 12(5): 473-475.)
[5]	Zhu YY, Wu WP. Advances in echinococcosis prevention and control programs and research in China and elsewhere around the world[J]. J Pathog Biol, 2016, 2(3): 284-286, Ⅰ0001. (in Chinese)
	(朱曜宇, 伍卫平. 国内外包虫病防治和研究进展[J]. 中国病原生物学杂志, 2016, 2(3): 284-286, Ⅰ0001.)
[6]	Zhang MY, Wu WP, Guan YY, et al. Analysis on disease burden of hydatid disease in China[J]. Chin J Parasitol Parasit Dis, 2018, 4(1): 15-19, 25. (in Chinese)
	(张梦媛, 伍卫平, 官亚宜, 等. 我国棘球蚴病疾病负担分析[J]. 中国寄生虫学与寄生虫病杂志, 2018, 4(1): 15-19, 25.)
[7]	Chen HG, Wang TW, Han J, et al. Major disease-specific hospitalizations and their expenses among rural residents covered by NRCMS in Yulin city of Shaanxi Province[J]. Chin J Public Health, 2020, 36(1): 115-119. (in Chinese)
	(陈红光, 王廷伟, 韩晶, 等. 农村重大疾病流行特征及其住院医疗费用分析[J]. 中国公共卫生, 2020, 36(1): 115-119.)
[8]	Du HJ, Zheng EW. Analysis on the influencing factors of hospitalization expenses of diabetic patients[J]. Chin Med Rec, 2022, 23(5): 45-48. (in Chinese)
	(杜慧杰, 郑二维. 糖尿病患者住院费用影响因素分析[J]. 中国病案, 2022, 23(5): 45-48.)
[9]	Zhang X, Wang JH, Yin H, et al. Medical expense of hospitalization among inpatients with major non-communicable chronic diseases in China, 2013[J]. Chin J Public Health, 2021, 37(4): 615-617. (in Chinese)
	(张鑫, 王佳慧, 尹航, 等. 中国2013年主要慢性病患者住院费用分析[J]. 中国公共卫生, 2021, 37(4): 615-617.)
[10]	Ministry of Health of the People’s Republic of China. Diagnostic criteria for echinococcosis: WS 257-2006[S]. Beijing: People’s Medical Publishing House, 2006: 1-11. (in Chinese)
	(中华人民共和国卫生部. 包虫病诊断标准: WS 257—2006[S]. 北京: 人民卫生出版社, 2006: 1-11.)
[11]	General Office of the State Council. Circular of the General Office of the State Council on the issuance of the 14th Five-Year Plan for universal medical security[EB/OL]. (2021-09-23)[2024-03-08]. https://www.nhsa.gov.cn/art/2021/9/29/art_37_6137.html. (in Chinese)
	(国务院办公厅. 国务院办公厅关于印发“十四五”全民医疗保障规划的通知[EB/OL]. (2021-09-23)[2024-03-08]. https://www.nhsa.gov.cn/art/2021/9/29/art_37_6137.html.)
[12]	National Health and Health Commission. 2022 China health and health statistics yearbook[EB/OL]. (2023-05-17)[2024-03-08]. http://www.nhc.gov.cn/mohwsbwstjxxzx/tjtjnj/202305/6ef68aac-6bd14c1eb9375e01a0faa1fb.shtml. (in Chinese)
	(国家卫生健康委员会. 2022中国卫生健康统计年鉴[EB/OL]. (2023-05-17)[2024-03-08]. http://www.nhc.gov.cn/mohwsbwstjxxzx/tjtjnj/202305/6ef68aac6bd14c1eb9375e01a0faa1fb.shtml.)
[13]	Shao J, Wang ZX, Yang DCR, et al. Analysis of influencing factors on hospitalization expenditures of patients with alveolar echinococcosis in Qinghai-Tibet Plateau[J]. Chin J Dis Control Prev, 2018, 4(2): 168-172.
	in Chinese (邵军, 王志鑫, 阳丹才让, 等. 青藏高原地区泡型包虫病患者住院费用影响因素分析[J]. 中华疾病控制杂志, 2018, 4(2): 168-172.
[14]	Chen YY, Ma RL, Guo H, et al. Prevalence and influencing factors of chronic diseases and chronic multimorbidity among Uygur rural adults: a cross-sectional survey in Xinjiang Production and Construction Corps[J]. Chin J Public Health, 2023, 39(11): 1376-1382. (in Chinese)
	(陈姚姚, 马儒林, 郭恒, 等. 新疆维吾尔族农村居民慢性病和慢性病共病患病情况及其影响因素分析[J]. 中国公共卫生, 2023, 39(11): 1376-1382.)
[15]	National Health Commission. Measures on the management of centralized transfer payments to local projects for the treatment of patients suffering from Baobab disease[EB/OL]. (2020-08-31)[2024-03-08]. https://www.gov.cn/zhengce/zhengceku/2020-09/03/content_5539743.htm. (in Chinese)
	(国家卫生健康委员会. 中央转移支付地方项目包虫病患者救治管理办法[EB/OL]. (2020-08-31)[2024-03-08]. https://www.gov.cn/zhengce/zhengceku/2020-09/03/content_5539743.htm.)
[16]	Wang L, Alimu AL Yao H. Analysis of influencing factors of the direct medical costs of 1 958 patients with hydatid disease[J]. Chin Prev Med, 2017, 3(8): 601-604. (in Chinese)
	(王乐, 阿力木•艾力, 姚华. 1 958例包虫病患者直接医疗费用影响因素分析[J]. 中国预防医学杂志, 2017, 3(8): 601-604.)
[17]	Duan XY, Wei JJ, Wang L, et al. Direct economic burden of inpatients with echinococcosis in primary hospitals in Xinjiang[J]. Pract Prev Med, 2015, 22(10): 1164-1166. (in Chinese)
	(段新宇, 魏晶晶, 王乐, 等. 新疆基层医院包虫病住院患者直接经济负担分析[J]. 实用预防医学, 2015, 22(10): 1164-1166.)
[18]	Gao C. Analysis of hospitalization expenses and influencing factors of 952 patients with echinococcosis from 2012 to 2016[D]. Xining: Qinghai University, 2017: 42. (in Chinese)
	(高超. 2012—2016年952例包虫病患者住院费用及影响因素分析[D]. 西宁: 青海大学, 2017: 42.)
[19]	Si Q, Liu CH, Shao YM, et al. Influencing factors analysis on the hospitalization cost of 2 064 cases of patients with echinococcosis[J]. Chin Med Rec, 2016, 2(5): 52-54. (in Chinese)
	(斯琴, 刘才华, 邵英梅, 等. 2 064例包虫病患者住院费用影响因素分析[J]. 中国病案, 2016, 2(5): 52-54.)
[20]	Ding Y, Duan XY, Wang L, et al. Study on economic burden of echinococcosis patients in designated hospitals in Xinjiang[J]. Chin J Health Stat, 2013, 30(2): 240-241. (in Chinese)
	(丁艳, 段新宇, 王乐, 等. 新疆包虫病定点医院包虫病患者经济负担研究[J]. 中国卫生统计, 2013, 30(2): 240-241.)
[21]	Duan HJ, Li LJ, Wu XL, et al. Analysis of hospitalization expenses and influencing factors in surgery for patients with cystic echinococcosis in Ningxia during 2016-2021[J]. Chin J Parasitol Parasit Dis, 2023, 41(1): 75-80, 84. (in Chinese)
	(段红菊, 李凌杰, 吴向林, 等. 2016—2021年宁夏细粒棘球蚴病手术患者住院费用及其影响因素分析[J]. 中国寄生虫学与寄生虫病杂志, 2023, 41(1): 75-80, 84.) doi: 10.12140/j.issn.1000-7423.2023.01.011
[22]	Zulifeiye AZZ. Study on economic burden of patients with end-stage hepatic alveolar echinococcosis treated by autologous liver transplantation[D]. Urumqi: Xinjiang Medical University, 2017: 26-27. (in Chinese)
	(祖丽菲耶•艾则孜. 自体肝移植治疗终末期肝泡型包虫病患者疾病经济负担研究[D]. 乌鲁木齐: 新疆医科大学, 2017:26-27.)
[23]	Kehlet H. Multimodal approach to control postoperative pathophysiology and rehabilitation[J]. Br J Anaesth, 1997, 78(5): 606-617.)
[24]	Kui Y, Xue CZ, Wang X, et al. Progress of echinococcosis control in China, 2022[J]. Chin J Parasitol Parasit Dis, 2024, 10(1): 8-16. (in Chinese)
	(蒉嫣, 薛垂召, 王旭, 等. 2022年全国棘球蚴病防治工作进展[J]. 中国寄生虫学与寄生虫病杂志, 2024, 10(1): 8-16.)
[25]	Li QY. Analysis on influencing factors of hospitalization expenses of cystic echinococcosis patients in Qinghai Province[J]. Chongqing Med, 2018, 47(33): 4310-4312. (in Chinese)
	(李全元. 青海省囊型包虫病患者住院费用影响因素分析[J]. 重庆医学, 2018, 47(33): 4310-4312.)
[26]	Qi XH, Li BL, Yin XF, et al. Analysis of influencing factors for hospitalization and related expenses for hydatid patients receiving surgical treatment in Xinjiang[J]. Chin J Parasitol Parasit Dis, 2018, 36(2): 196-198. (in Chinese)
	(齐新红, 李波霖, 殷雪峰, 等. 新疆棘球蚴病外科救助患者住院及相关费用影响因素分析[J]. 中国寄生虫学与寄生虫病杂志, 2018, 36(2): 196-198.)
[27]	Ma FR. Analysis of hospitalization expenses and influencing factors of echinococcosis patients in Xinjiang production and construction corps[D]. Shihezi: Shihezi University, 2013: 35. (in Chinese)
	(马芙蓉. 新疆生产建设兵团包虫病患者住院费用及影响因素分析[D]. 石河子: 石河子大学, 2013: 35.)
[28]	Yao RX, Zhong B, Wang Q, et al. Analysis of hospitalization expenses and subsidies for echinococcosis patients in Sichuan Province during 2016-2020[J]. Chin J Parasitol Parasit Dis, 2021, 39(2): 161-165. (in Chinese)
	(姚人新, 钟波, 王谦, 等. 2016—2020年四川省504例棘球蚴病患者住院费用及补助情况分析[J]. 中国寄生虫学与寄生虫病杂志, 2021, 39(2): 161-165.) doi: 10.12140/j.issn.1000-7423.2021.02.006

变量 Variant	偏回归系数 Biased regression coefficient	标准偏回归系数 Standardized partial regression coefficient	t值 t value	P值 P value	F值 F value	调整后R² Adjusted R²
常数项 Constant term	-3 257 800.579		-5.994	< 0.01	35.906	0.437
手术年份 Operation year	1 600.561	0.207	5.937	< 0.01
性别 Gender	-134.061	-0.003	-0.094	> 0.05
年龄 Age	3 618.456	0.116	3.349	< 0.01
职业 Occupation	1 451.051	0.075	2.238	< 0.05
民族 Ethnic group	597.174	0.021	0.606	> 0.05
是否转科ICU Whether or not to transfer ICU	27 263.505	0.303	8.778	< 0.01
住院时间 Length of hospitalization	10 104.449	0.258	7.346	< 0.01
棘球蚴病类型 Types of echinococcosis	17 756.202	0.203	6.049	< 0.01
疾病转归 Disease regression	-331.173	-0.008	-0.225	> 0.05
有无并发症 Any complications	15 938.668	0.207	5.967	< 0.01
棘球蚴寄生部位 Location of cyst	7 372.307	0.125	3.767	< 0.01
手术方式 Type of surgery	769.385	0.045	1.320	> 0.05

甘肃省棘球蚴病定点医院棘球蚴病手术患者住院费用影响因素分析

Analysis on influencing factors of hospitalization costs of echinococcosis surgery patients in designated echinococcosis hospital in Gansu Province

RichHTML

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

图/表 4

参考文献 28

相关文章 15

编辑推荐

Metrics

本文评价

[1]	徐刚, 毛艺, 李江, 张宏伟, 张永国, 吴向未, 彭心宇, 孙红, 杨婧, 陈骞, 张示杰. 多房棘球蚴通过肝脏p38MAPK通路调控棘球蚴自身生长[J]. 中国寄生虫学与寄生虫病杂志, 2024, 42(4): 447-453.
[2]	任艳, 宋涛, 尚丰, 吴淼, 王正业, 王晓荣. 卷积神经网络在辅助肝细粒棘球蚴病超声分型诊断的应用[J]. 中国寄生虫学与寄生虫病杂志, 2024, 42(4): 454-460.
[3]	王旭, 王莹, 刘白雪, 张凯歌, 邓雪莹, 沈玉娟, 王正寰, 曹建平, 韩帅. 棘球绦虫和棘球蚴病的简明认知历史[J]. 中国寄生虫学与寄生虫病杂志, 2024, 42(3): 372-383.
[4]	祖力皮喀尔•图孙尼亚孜, 蒋铁民, 温浩. 腹腔多发合并胸壁细粒棘球蚴病1例[J]. 中国寄生虫学与寄生虫病杂志, 2024, 42(3): 424-426.
[5]	刘泽航, 张小娟, 杨国兵, 雷家希, 刘白雪, 王莹, 王芝依, 王东, 冯宇, 王立英. 基于EQ-5D-5L量表的甘肃省棘球蚴病患者手术前后生命质量研究[J]. 中国寄生虫学与寄生虫病杂志, 2024, 42(2): 182-190.
[6]	蒉嫣, 薛垂召, 王旭, 刘白雪, 王莹, 王立英, 杨诗杰, 韩帅, 许学年. 2022年全国棘球蚴病防治工作进展[J]. 中国寄生虫学与寄生虫病杂志, 2024, 42(1): 8-16.
[7]	茅范贞, 李雪诚, 徐祥珍, 戴洋, 刘耀宝, 曹俊. 2019—2022年江苏省幼儿园儿童蛲虫感染现状及影响因素分析[J]. 中国寄生虫学与寄生虫病杂志, 2023, 41(6): 708-717.
[8]	李琳, 朱爱娅, 蔡玉春, 俞铖航, 陈木新, 田利光. 黔东南地区侗族人群芽囊原虫感染情况及影响因素分析[J]. 中国寄生虫学与寄生虫病杂志, 2023, 41(6): 725-732.
[9]	李奔福, 杨敬, 杨金玉, 罗瑞娟, 朱斌林, 陈泰林, 张丽娟, 李雪瑶, 严信留, 字金荣, 彭佳, 王正青, 李健雄, 蔡璇, 徐倩, 吴方伟, 杨亚明. 云南省大理州棘球蚴病流行病学调查和病例回顾性分析[J]. 中国寄生虫学与寄生虫病杂志, 2023, 41(5): 573-578.
[10]	倪碧娴, 徐祥珍, 张强, 唐凤, 张嘉尧, 茅范贞, 戴洋, 刘耀宝, 曹俊. 2015—2022年江苏省棘球蚴病网络报告病例流行病学特征分析[J]. 中国寄生虫学与寄生虫病杂志, 2023, 41(5): 636-639.
[11]	封晓晓, 白玛央金, 张颋, 陆豪杰, 魏黎明. 血清IgG唾液酸化修饰在肝棘球蚴病诊断中的应用研究[J]. 中国寄生虫学与寄生虫病杂志, 2023, 41(4): 434-439.
[12]	朱爱娅, 王旭, 王江友, 王颖, 李杨, 宋珊, 耿燕, 兰子尧, 戴佳芮. 贵州省儿童多房棘球蚴病1例[J]. 中国寄生虫学与寄生虫病杂志, 2023, 41(4): 520-523.
[13]	娆琬·托勒洪, 阿不都撒拉木·阿不力克木, 杨凌菲, 陈璐, 李钊, 贾芳, 宋涛. 超声表现诊断肝多房棘球蚴病的效果评价及因素分析[J]. 中国寄生虫学与寄生虫病杂志, 2023, 41(3): 312-318.
[14]	王威, 蔡辉霞. 2020年青海省棘球蚴病监测结果[J]. 中国寄生虫学与寄生虫病杂志, 2023, 41(3): 319-324.
[15]	蒉嫣, 薛垂召, 王旭, 刘白雪, 王莹, 王立英, 杨诗杰, 韩帅, 伍卫平, 肖宁. 2021年全国棘球蚴病防治进展[J]. 中国寄生虫学与寄生虫病杂志, 2023, 41(2): 142-148.