CHINESE JOURNAL OF PARASITOLOGY AND PARASITIC DISEASES ›› 2023, Vol. 41 ›› Issue (1): 75-80.doi: 10.12140/j.issn.1000-7423.2023.01.011
• ORIGINAL ARTICLES • Previous Articles Next Articles
DUAN Hongju1,*(), LI Lingjie2, WU Xianglin1, YAN Fang1, QI Rongting1, MA Tianbo1
Received:
2022-04-01
Revised:
2022-08-31
Online:
2023-02-28
Published:
2023-02-03
Contact:
* E-mail: CLC Number:
DUAN Hongju, LI Lingjie, WU Xianglin, YAN Fang, QI Rongting, MA Tianbo. Analysis of hospitalization expenses and influencing factors in surgery for patients with cystic echinococcosis in Ningxia during 2016—2021[J]. CHINESE JOURNAL OF PARASITOLOGY AND PARASITIC DISEASES, 2023, 41(1): 75-80.
Add to citation manager EndNote|Ris|BibTeX
URL: https://www.jsczz.cn/EN/10.12140/j.issn.1000-7423.2023.01.011
Table 1
Hospitalization expenses of surgical patients with cystic echinococcosis in Ningxia from 2016 to 2021
费用类别 Expense category | 中位数/元 Median/Yuan | 顺位 Ordinal no. |
---|---|---|
药品费 Drug fee | 8 030.0 | 1 |
材料费 Consumptive material fee | 5 000.0 | 2 |
手术费 Operating fee | 3 436.4 | 3 |
化验费 Laboratory fee | 1 896.7 | 4 |
治疗费 Treatment fee | 1 745.9 | 5 |
检查费 Examination fee | 1 142.7 | 6 |
放射费 Radiation fee | 439.2 | 7 |
床位费 Bed fee | 410.4 | 8 |
护理费 Nursing fee | 407.0 | 9 |
输血费 Blood transfusion fee | 292.7 | 10 |
输氧费 Oxygen fee | 167.9 | 11 |
中成药费 Chinese medicines fee | 142.8 | 12 |
其他 Others | 117.6 | 13 |
病检费 Fee for medical examination | 84.5 | 14 |
诊疗费 Medical fee | 66.9 | 15 |
取暖费 Heating fee | 30.2 | 16 |
监护费 Tutelage fee | 24.6 | 17 |
合计 Total fee | 20 362.5 |
Table 2
Patient basic information and hospitalization expenses of surgical patients with cystic echinococcosis in Ningxia from 2016 to 2021
特征 Characteristics | 患者数 No. patient | 构成比/% Constituent/% | 住院费用中位数/元 Median of hospitalization cost/Yuan |
---|---|---|---|
性别 Gender | |||
男 Male | 244 | 50.2 | 20 126.1 |
女 Female | 242 | 49.8 | 2 0931.4 |
年龄组/岁 Age group/Year | |||
0~19 | 9 | 1.9 | 16 421.0 |
20~39 | 93 | 19.1 | 19 105.0 |
40~59 | 264 | 54.3 | 20 835.5 |
≥ 60 | 120 | 24.7 | 20 794.0 |
职业 Occupation | |||
农民 Farmer | 472 | 97.1 | 20 335.5 |
儿童及学生 Children and students | 5 | 1.0 | 14 282.0 |
其他 Others | 9 | 1.9 | 22 655.0 |
文化程度 Degree of education | |||
文盲 Illiteracy | 98 | 20.2 | 23 286.4 |
小学 Primary school | 193 | 39.7 | 20 313.0 |
初中及中专 Middle school | 169 | 34.8 | 19 587.0 |
高中及高职 High school | 18 | 3.7 | 22 496.5 |
大专及以上 College and above | 8 | 1.6 | 23 877.7 |
确诊至手术的时间间隔 Time interval from diagnosis to operation | |||
≤ 1年 ≤ 1 Year | 181 | 37.2 | 19 127.0 |
> 1年 > 1 Year | 305 | 62.8 | 20 830.1 |
手术次数 Operation number | |||
1 | 369 | 75.9 | 20 274.3 |
> 1 | 117 | 24.1 | 20 963.0 |
住院天数 Days staying in hospital | |||
≤ 21 d | 417 | 85.8 | 19 768.9 |
> 21 d | 69 | 14.2 | 30 732.0 |
医保 Medical insurance | |||
无No | 6 | 1.2 | 29 798.5 |
有Yes | 480 | 98.8 | 20 313.0 |
手术方式 Operation procedure | |||
外囊剥除术 Extraystic dissection | 377 | 77.6 | 19 472.5 |
内囊摘除术 Internal and external cystectomy | 70 | 14.4 | 20 293.7 |
肝切除术 Liver resection | 39 | 8.0 | 31 640.5 |
手术年份 Operation year | |||
2016 | 108 | 22.2 | 17 689.5 |
2017 | 85 | 17.5 | 18 458.0 |
2018 | 87 | 17.9 | 19 231.0 |
2019 | 87 | 17.9 | 20 841.0 |
2020 | 55 | 11.3 | 23 497.0 |
2021 | 64 | 13.2 | 27 090.0 |
合计 Total | 486 | 100 | 20 362.5 |
Table 3
Hospitalization expenses and hospitalization days in hospitals of different grades for surgical patients of cystic echinococcosis in Ningxia from 2016 to 2021
医院级别Hospital level | 患者数 No. patient | 构成比/% Constituent/% | 住院费用 Hospitalization expenses | 住院天数 No. of hospitalization day | |||||
---|---|---|---|---|---|---|---|---|---|
中位数 Median | 最大值 Maximum | 最小值 Minimum | 中位数 Median | 最大值 Maximum | 最小值 Minimum | ||||
省 Provincial | 241 | 49.6 | 26 227.0 | 91 715.0 | 7 298.0 | 14 | 44 | 3 | |
市级 City | 129 | 26.5 | 16 979.0 | 74 944.0 | 3 887.4 | 14 | 53 | 2 | |
县级 County | 116 | 23.9 | 12 988.1 | 35 034.0 | 5 637.0 | 15 | 35 | 3 | |
合计 Total | 486 | 100 | 20 362.5 | 91 715.0 | 3 887.4 | 14 | 53 | 2 |
Table 4
Logistic regression analysis of factors influencing hospitalization expenses of surgical patients with cystic echinococcosis in Ningxia from 2016 to 2021
变量 Variable | 赋值 Assignment | 回归系数 Regression coefficient | 标准误 SE | 标准化回归系数 Standardized confficients | t | P |
---|---|---|---|---|---|---|
常量 Constant | 13 022.983 | 4 810.498 | 2.707 | < 0.05 | ||
性别 Gender | 0 = 男Male,1 = 女Female | -840.022 | 920.486 | -0.032 | -0.913 | > 0.05 |
年龄 Age | 用原始数据 Using the raw data | 64.107 | 38.099 | 0.065 | 1.683 | > 0.05 |
职业 Occupation | 0 = 农民Farmer,1 = 儿童和学生Children and students,2 = 其他Other | -2 014.990 | 1 601.218 | -0.044 | -1.258 | > 0.05 |
文化程度 Degree of education | 0 = 文盲Illiteracy,1 = 小学Primary school,2 = 初中/中专Junior high school/technical secondary school,3 = 高中/高职High school/vocational high school,4 = 大专及以上College or above | 522.991 | 571.201 | 0.035 | 0.916 | > 0.05 |
确诊至手术的时间间隔Time interval from diagnosis to operation | 用原始数据 Using the raw data | 0.311 | 50.394 | 0.000 | 0.006 | > 0.05 |
手术次数 No. operation | 0 = 1次 Once,1 = 2次及以上 2 or more times | 974.002 | 1 210.774 | 0.031 | 0.804 | > 0.05 |
手术方式 Operation procedure | 0 = 外囊完整剥除术Extraystic dissection,1 = 内囊摘除术Internal and external cystectomy,2 = 肝切除术Liver resection | 1 719.579 | 803.367 | 0.075 | 2.140 | < 0.05 |
医院级别 Hospital level | 0 = 省级医院Provincial,1 = 市级City,2 = 地市级医院,3 = 县级医院County | -7 820.949 | 556.845 | -0.486 | -14.045 | < 0.05 |
住院天数 Days staying in hospital | 用原始数据 Using the raw data | 866.314 | 68.187 | 0.440 | 12.705 | < 0.05 |
医保 Medical insurance | 0 = 无No,1 = 有Yes | -4 942.721 | 4 095.823 | -0.041 | -1.207 | > 0.05 |
手术年份 Operation year | 0 = 2016,1 = 2017,2 = 2018,3 = 2019, 4 = 2020,5 = 2021 | 1 106.999 | 276.922 | 0.142 | 3.998 | < 0.05 |
Table 5
Out-of-pocket of hospitalization expenses of surgical patients with cystic echinococcosis in Ningxia from 2016 to 2021
年份Year | 自付费用/元 Out-of-pocket payment/Yuan | 合计Total | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
0 | 1~999 | 1 000~4 999 | 5 000~9 999 | 100 000~19 999 | ≥ 20 000 | |||||||||
患者数No. patient | 构成比/%Constituent/% | 患者数No. patient | 构成比/%Constituent/% | 病例数No. patient | 构成比/%Constituent/% | 病例数No. patient | 构成比/%Constituent/% | 病例数No. patient | 构成比/%Constituent/% | 病例数No. patient | 构成比/%Constituent/% | 病例数No. patient | 构成比/%Constituent/% | |
2016 | 45 | 41.7 | 11 | 10.2 | 15 | 13.9 | 21 | 19.4 | 11 | 10.2 | 5 | 4.6 | 108 | 100 |
2017 | 47 | 55.3 | 3 | 3.5 | 14 | 16.5 | 14 | 16.5 | 4 | 4.7 | 3 | 3.5 | 85 | 100 |
2018 | 57 | 65.5 | 5 | 5.7 | 16 | 18.4 | 6 | 6.9 | 2 | 2.3 | 1 | 1.1 | 87 | 100 |
2019 | 51 | 58.6 | 4 | 4.6 | 9 | 10.3 | 14 | 16.1 | 4 | 4.6 | 5 | 5.7 | 87 | 100 |
2020 | 35 | 63.6 | 0 | 0 | 8 | 14.5 | 7 | 12.7 | 2 | 3.6 | 3 | 5.5 | 55 | 100 |
2021 | 23 | 35.9 | 1 | 1.6 | 12 | 18.8 | 12 | 18.8 | 13 | 20.3 | 3 | 4.7 | 64 | 100 |
合计Total | 258 | 53.1 | 24 | 4.9 | 74 | 15.2 | 74 | 15.2 | 36 | 7.4 | 20 | 4.1 | 486 | 100 |
[1] | Xu HR, Liu XX, Zhang JS. Surveillance data of brucellosis in Shanghe couty, 2009—2014[J]. Mod Prev Med, 2016, 43(19): 3611-3614. (in Chinese) |
(许华茹, 刘晓雪, 张吉山. 2009—2014年商河县人间布鲁氏菌病监测资料分析[J]. 现代预防医学, 2016, 43(19): 3611-3614.) | |
[2] | Duan HJ, Wu XL, Qi RT, et al. Analysis of surveillance results of echinococcosis in Ningxia in 2017[J]. Chin J Parasitol Parasit Dis, 2019, 37(4): 433-436. (in Chinese) |
(段红菊, 吴向林, 齐蓉婷, 等. 2017年宁夏棘球蚴病监测结果分析[J]. 中国寄生虫学与寄生虫病杂志, 2019, 37(4): 433-436.) | |
[3] | Ma M, Chen T, Yang YY. Study on DRGs grouping patients with patients with echinococcosis based on decision tree model[J]. Chin Med Rec, 2022, 23(8): 33-37. (in Chinese) |
(马明, 陈婷, 杨圆圆. 利用决策树模型的包虫病患者住院费用及病例组合分析[J]. 中国病案, 2022, 23(8): 33-37.) | |
[4] | Yu HM, Shi R, Yang Y, et al. Direct medical expenses of hospitalization for serious echinococcosis in Ganzi Tibetan Autonomous Prefecture[J]. Chin Health Resour, 2020, 23(5): 457-460. (in Chinese) |
(余红梅, 石锐, 杨义, 等. 甘孜藏族自治州包虫病大病住院的直接医疗费用[J]. 中国卫生资源, 2020, 23(5): 457-460.) | |
[5] | Zhang MY, Wu WP, Guan YY, et al. A survey on medical expenditure of hepatic echinococcosis surgery in a Tibetan Region and the related influencing factors[J]. Chin J Parasitol Parasit Dis, 2017, 35(3): 250-253. (in Chinese) |
(张梦媛, 伍卫平, 官亚宜, 等. 藏区肝棘球蚴病患者手术医疗费用及其相关影响因素分析[J]. 中国寄生虫学与寄生虫病杂志, 2017, 35(3): 250-253.) | |
[6] | Liu P, Cai L, Li AM, et al. Analysis of influencing factors on length of stay and total cost in surgery patients of gastric cancer[J]. Chin Med Rec, 2021, 22(10): 50-53. (in Chinese) |
(刘萍, 蔡林, 李爱民, 等. 胃癌手术患者住院天数及住院总费用影响因素分析[J]. 中国病案, 2021, 22(10): 50-53.) | |
[7] | Tang Y, Li L, Yin LY, et al. Influence factors analysis of hospitalization expenses in orthopedic surgery patients[J]. Guangzhou Med J, 2020, 51(2): 117-122. (in Chinese) |
(唐瑶, 李凌, 尹龙燕, 等. 骨科手术患者住院费用影响因素分析[J]. 广州医药, 2020, 51(2): 117-122.) | |
[8] | Wu MP, Liu P, Xu W, et al. Analysis on the structure and influencing factors of a hospital[J]. Chin Med Rec, 2021, 22(9): 76-80. (in Chinese) |
(吴梦平, 刘萍, 徐渭, 等. 某院手术患者住院费用构成与影响因素分析[J]. 中国病案, 2021, 22(9): 76-80.) | |
[9] | Yan LY. Research progress of hepatectomy in the treatment of hepatic echinococcosis[J]. World Latest Med Inf, 2016, 16(A3): 43-44. (in Chinese) |
(严利燕. 肝叶切除术治疗肝包虫病的研究进展[J]. 世界最新医学信息文摘, 2016, 16(A3): 43-44.) | |
[10] | Gao YS, Zhu MB, Guo YZ, et al. Clinical analysis on hepatic hydatid disease in Yili River valley[J]. Chin J Parasitol Parasit Dis, 2005, 23(1): 10-13. (in Chinese) |
(高永盛, 朱马拜, 郭永忠, 等. 新疆伊犁河谷肝棘球蚴病临床资料分析[J]. 中国寄生虫学与寄生虫病杂志, 2005, 23(1): 10-13.) | |
[11] | Liao Y, Zhu MB. Study on standardized treatment of hepatic echinococcosis[J]. Chin Community Dr, 2011, 13(25): 70-71. (in Chinese) |
(燎原, 朱马拜. 肝包虫病的规范化治疗研究[J]. 中国社区医师(医学专业), 2011, 13(25): 70-71.) | |
[12] | Dong JH, Huang ZQ. Precise liver resection: new concept of liver surgery in 21st century[J]. Chin J Surg, 2009, 47(21): 1601-1605. (in Chinese) |
(董家鸿, 黄志强. 精准肝切除: 21世纪肝脏外科新理念[J]. 中华外科杂志, 2009, 47(21): 1601-1605.) | |
[13] | Wang L, Alimu AL, Yao H. Analysis of influencing factors of the direct medical costs of 1958 patients with hydatid disease[J]. Chin Prev Med, 2017, 18(8): 601-604. (in Chinese) |
(王乐, 阿力木·艾力, 姚华. 1958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, 18(8): 601-604.) | |
[14] | 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, 22(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, 22(2): 168-172.) | |
[15] | 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.) | |
[16] | Duan S, Tuerganaili AJ, Jiang TM, et al. Evaluation of clinical pathway in the therapeutic treatment hepatic alveolar echinococcosis[J]. Chin J Oper Proced Gen Surg Electron Ed, 2019, 13(6): 567-570. (in Chinese) |
(段帅, 吐尔干艾力·阿吉, 蒋铁民, 等. 肝泡型包虫病临床路径实施效果评价[J]. 中华普外科手术学杂志(电子版), 2019, 13(6): 567-570.) |
[1] | LI Benfu, YANG Jing, YANG Jinyu, LUO Ruijuan, ZHU Binlin, CHEN Tailin, ZHANG Lijuan, LI Xueyao, YAN Xinliu, ZI Jinrong, PENG Jia, WANG Zhengqing, LI Jianxiong, CAI Xuan, XU Qian, WU Fangwei, YANG Yaming. Epidemiological investigation and case retrospective analysis of echinococcosis in Dali Prefecture, Yunnan Province [J]. CHINESE JOURNAL OF PARASITOLOGY AND PARASITIC DISEASES, 2023, 41(5): 573-578. |
[2] | NI Bixian, XU Xiangzhen, ZHANG Qiang, TANG Feng, ZHANG Jiayao, MAO Fanzhen, DAI Yang, LIU Yaobao, CAO Jun. Epidemiological characteristics of echinococcosis cases reported in the National Notifiable Disease Report System in Jiangsu Province, 2015—2022 [J]. CHINESE JOURNAL OF PARASITOLOGY AND PARASITIC DISEASES, 2023, 41(5): 636-639. |
[3] | FENG Xiaoxiao, BAIMA Yangjin, ZHANG Ting, LU Haojie, WEI Liming. Applied research of serum IgG sialylation modification in the diagnosis of hepatic echinococcosis [J]. CHINESE JOURNAL OF PARASITOLOGY AND PARASITIC DISEASES, 2023, 41(4): 434-439. |
[4] | ZHU Aiya, WANG Xu, WANG Jiangyou, WANG Ying, LI Yang, SONG Shan, GENG Yan, LAN Ziyao, DAI Jiarui. A child case of alveolar echinococcosis in Guizhou Province [J]. CHINESE JOURNAL OF PARASITOLOGY AND PARASITIC DISEASES, 2023, 41(4): 520-523. |
[5] | RAOWAN Tuolehong, ABUDUSALAMU Abulikemu, YANG Lingfei, CHEN Lu, LI Zhao, JIA Fang, SONG Tao. Effect evaluation and factor analysis of ultrasonic manifestations in the diagnosis of hepatic alveolar echinococcosis [J]. CHINESE JOURNAL OF PARASITOLOGY AND PARASITIC DISEASES, 2023, 41(3): 312-318. |
[6] | WANG Wei, CAI Huixia. Surveillance of echinococcosis in Qinghai Province in 2020 [J]. CHINESE JOURNAL OF PARASITOLOGY AND PARASITIC DISEASES, 2023, 41(3): 319-324. |
[7] | KUI Yan, XUE Chuizhao, WANG Xu, LIU Baixue, WANG Ying, WANG Liying, YANG Shijie, HAN Shuai, WU Weiping, XIAO Ning. Progress of echinococcosis control in China, 2021 [J]. CHINESE JOURNAL OF PARASITOLOGY AND PARASITIC DISEASES, 2023, 41(2): 142-148. |
[8] | MA Bingcun, LIU Yuying, ZHANG Tiantian, LEI Wen, MA Xiao, LIU Shou. A case-control study on the influencing factors of echinococcosis in Qinghai Province [J]. CHINESE JOURNAL OF PARASITOLOGY AND PARASITIC DISEASES, 2023, 41(2): 183-191. |
[9] | MA Hui, CHONG Shigui, CHEN Gen, ZHANG Linghui, QIN Junmei, ZHAO Yumin. Research progress on the cellular signal pathways associated in alveolar echinococcosis [J]. CHINESE JOURNAL OF PARASITOLOGY AND PARASITIC DISEASES, 2023, 41(2): 223-227. |
[10] | LU Weimin, YANG Xiaotao, ZHU Ying, ZHANG Hong, LI Jiwei, WANG Yanchun. A child case of pulmonary cystic echinococcosis [J]. CHINESE JOURNAL OF PARASITOLOGY AND PARASITIC DISEASES, 2023, 41(2): 253-256. |
[11] | CAO Deping, WU Defang, PANG Mingquan, PENG Xiaohong, LI Dayu, FAN Haining. Difference analysis of the gut microbiome in patients with echinococcosis [J]. CHINESE JOURNAL OF PARASITOLOGY AND PARASITIC DISEASES, 2023, 41(1): 103-107. |
[12] | WU Xiang-lin, YAN Fang, DUAN Hong-ju, QI Rong-ting, MA Tian-bo, GAO Jian-wei. Echinococcus multilocularis infection in dogs and other wild hosts in endemic area of Ningxia in 2021 [J]. CHINESE JOURNAL OF PARASITOLOGY AND PARASITIC DISEASES, 2022, 40(6): 717-722. |
[13] | LIU Yu-ying, ZHANG Tian-tian, MA Xiao, LEI Wen, MA Bing-cun, LIU Shou. Awareness and influencing factors of knowledge on echinococcosis prevention and control among adults in Qinghai Province [J]. CHINESE JOURNAL OF PARASITOLOGY AND PARASITIC DISEASES, 2022, 40(6): 723-729. |
[14] | AN Xiu-qing, WANG Miao-miao, ZHOU Hong-qian, MENG Kai, CAI Jian-ping, LIU Guang-hui, A Ji-de, YANG Jing-yu. Research progress on microvascular density in hepatic alveolar echinococcosis [J]. CHINESE JOURNAL OF PARASITOLOGY AND PARASITIC DISEASES, 2022, 40(6): 792-797. |
[15] | GUO Lu, WU Xiao-xia, DUAN Lan-li, WANG Bing-jie, XU Ning, AREAI Ahatai, WU Yun-hua, ZHAO Li, BAN Wan-li, CHEN Yun-ying, YU Wan-rong, LIU Shuai, PAN Xing-yu, WULIJIANG Kamali, XU Jing, MUNILA Teliewuhan, ZHANG Zhuang-zhi. Prevalence and gene polymorphism analysis of Echinococcus granulosus in cattle and sheep in part areas of Xinjiang [J]. CHINESE JOURNAL OF PARASITOLOGY AND PARASITIC DISEASES, 2022, 40(5): 603-609. |
Viewed | ||||||
Full text |
|
|||||
Abstract |
|
|||||