Analysis of influencing factors for hospitalization and related expenses for hydatid patients receiving surgical treatment in Xinjiang

Abstract

Abstract:

To understand the hydatid disease burden in Xinjiang, hospitalization and related expenses for hydatid surgical patients treated at the designated hospital in Xinjiang from 2014 to 2016 were described. Univariate analysis of continuous variables was performed with t test and variance analysis of influencing factors for hospitalization and related expenses was performed with logistic regression analysis. A total of 1 448 patients with hydatid disease who received surgical treatment were investigated. The annual total expense, the average cost per person and the median was 80 407 344.75 yuan, 55 529.93 yuan and 44 740.47 yuan, and which of hospitalization expense was 68 803 195.92 yuan, 47 516.02 yuan and 36 652.37 yuan, and which of related expense was 11 604 148.83 yuan, 8 013.91 yuan and 7 787.82 yuan. Univariate analysis showed that medical insurance and the length of hospital stay were influencing factors for hospitalization and related expenses. Logistic regression analysis showed that medical insurance and the length of hospital stay were the main influencing factors for hospitalization and related expenses (t = 5.302, 4.569, P < 0.05). Therefore, measures need to be taken to reduce the burden of this disease in patients, such as making adjustment on financial subsidy on diseases, increasing the health insurance reimbursement, and carrying out management of clinical pathway.

Key words: Hydatid disease, Hospitalization and related expenses, Influencing factors

CLC Number:

R532.32

Xin-hong QI, Bo-lin LI, Xue-feng YIN, Yan CAI, Xin-yu DUAN, Ren-yong LIN, Xiao-mei LU, Hao WEN. Analysis of influencing factors for hospitalization and related expenses for hydatid patients receiving surgical treatment in Xinjiang[J]. CHINESE JOURNAL OF PARASITOLOGY AND PARASITIC DISEASES, 2018, 36(2): 196-198.

Figures/Tables 4

References 12

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项目	人均费用/元	中位数/元	总费用/元	构成比/%
住院费用	47 516.02	36 652.37	68 803 195.92	85.57
检查费	5 445.23	3 002.09	7 884 699.97	9.81
治疗费	1 917.79	1 199.33	2 776 957.19	3.45
手术费	7 017.74	6 120.24	10 161 681.26	12.60
床位费	746.86	628.54	1 081 447.02	1.34
护理费	303.50	197.09	439 462.93	0.55
材料费	8 207.37	3 557.83	11 884 272.02	14.78
药物费	17 704.28	12 009.29	25 635 794.90	31.88
陪护费	3 505.21	3 061.55	5 075 542.58	6.31
其他	2 665.34	1 457.19	3 859 412.51	4.80
相关费用	8 013.91	7 787.82	11 604 148.83	14.43
交通费	383.86	174.76	555 835.51	0.69
家属住宿费	3 505.20	3 061.55	5 075 526.23	6.31
额外营养费	2 029.18	1 836.93	2 938 257.97	3.65
自购药	1 099.82	1 014.14	1 592 532.84	1.98
其他	995.85	660.19	1 441 994.69	1.79
总费用	55 529.93	44 740.47	80 407 344.75	100

年份	县级医院		地州（市）级医院		省（自治区）级医院
年份	人均住院费用	人均其他费用	人均住院费用	人均其他费用	人均住院费用	人均其他费用
2014	22 687.01	3 426.26	28 837.07	3 988.17	32 533.15	4 583.55
2015	29 833.58	6 872.30	42 816.74	8 223.83	70 861.73	9 971.56
2016	49 349.80	9 825.79	62 068.39	11 120.94	105 108.17	15 252.57

变量	赋值	例数	住院费用/元	相关费用/元
医疗保险
有	1	1 366	46 644.96±40 199.70	7 891.88±3 929.65
无	2	82	62 026.56±48 288.66	10 046.76±5 972.34
F			0.08	23.62
P			0.04	0.03
住院天数/d
0~9	1	81	41 818.96±38 201.92	8 878.88±5 185.81
10~14	2	485	45 651.34±43 368.50	8 059.16±4 456.98
15~19	3	455	50 562.25±27 228.47	7 453.70±3 692.22
20~	4	427	56 227.49±48 714.49	8 395.39±3 778.42
F			0.94	11.18
P			0.02	< 0.01
病灶数量/个
1	1	1 198	47 016.06±40 640.05	7 956.13±4 078.42
2~3	2	238	49 733.65±42 866.27	8 268.76±4 139.44
4~5	3	12	53 445.97±41 439.66	8 728.48±5 380.20
F			0.96	2.12
P			0.38	0.12
病灶大小/cm
3~5	1	137	39 562.64±25 855.70	7 663.59±4 144.74
6~8	2	419	48 889.74±38 413.61	8 308.69±4 128.85
9~12	3	699	47 842.97±36 199.05	7 809.23±4 029.20
13~15	4	117	49 983.81±40 058.07	7 899.25±4 196.50
16~19	5	60	49 848.00±32 342.50	9 375.79±4 245.72
20~	6	16	38 568.37±18 320.50	7 967.91±3 503.70
F			0.41	2.06
P			0.80	0.08

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