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Inpatient Cost of Stroke in Beijing: A Descriptive Analysis

Xuejun Yin, Lieyu Huang, Xiaowei Man

    Neuroepidemiology
    |August 9, 2018
    PubMed

    Insights

    Stroke treatment costs are substantial in China, with costs varying by stroke type, age, and sex. Understanding these factors is crucial for guiding future healthcare spending and policy development.

    Area of Science:

    • Public Health
    • Health Economics
    • Neurology

    Background:

    • Stroke is the leading cause of death in China, accounting for a significant portion of global stroke mortality.
    • The economic burden of stroke treatment, particularly in-hospital charges, requires thorough investigation.

    Purpose of the Study:

    • To analyze stroke in-hospital charges based on stroke subtypes, patient age, and sex.
    • To identify factors influencing the cost of per hospital stay for stroke patients.

    Main Methods:

    • A retrospective observational study involving 16,111 stroke admissions from 31 Beijing hospitals.
    • Analysis of total treatment costs and cost per stay, with stepwise multiple regression to explore influencing factors.

    Main Results:

    • The average cost of per stay for stroke was USD 4,423.9, with out-of-pocket expenses averaging USD 1,640.2.
    • Stroke type (subarachnoid hemorrhage, intracerebral hemorrhage, cerebral infarction), age, medical insurance, treatment outcomes, and hospital level significantly impacted costs (p < 0.001).

    Conclusions:

    • Stroke hospitalization incurs substantial costs, highlighting a significant economic concern.
    • Findings offer evidence for policymakers and healthcare professionals to inform future healthcare expenditure and resource allocation strategies.
    Abstract

    Keywords:
    Hospitalization costRetrospective observational studyStroke

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