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