急性尾炎患者的住院费用:使用来自中国一个大省份的真实数据的更新
Nan Peng1, Qinghong He2, Jie Bai1
1School of International Pharmaceutical Business, China Pharmaceutical University, Nanjing, Jiangsu, 211198, People's Republic of China.
Risk management and healthcare policy
|December 25, 2023
概括
中国急性尾炎的住院费用受到患者和医院因素的影响,治疗方法是最重要的. 选择合适的治疗方法和较低级别或私人医院可以帮助降低费用.
科学领域:
- 卫生经济学 卫生经济学
- 公共卫生 公共卫生
- 医疗信息学 医疗信息学
背景情况:
- 急性尾炎在全球范围内代表着严重的医疗负担.
- 了解住院费用对于资源配置和医疗保健系统的政策制定至关重要.
研究的目的:
- 调查影响中国急性尾炎患者住院费用的关键因素.
- 分析患者层面和医院层面的变量对医疗保健支出的影响.
主要方法:
- 一项利用2015-2018年在中国S省的电子医疗记录进行的横截面研究.
- 用多变量线性回归和沙普利值分解来确定成本决定因素.
- 分析包括317,200例被诊断为急性尾炎的病例 (ICD-10:K35).
主要成果:
- 平均住院费用约为7014元人民币 (1061美元),占中国人均GDP的12%.
- 患者的年龄,性别,婚姻状况,职业,支付方式,并发症,治疗方法,医院级别和所有权与成本有显著的相关性.
- 治疗方法成为影响总住院费用的最重要因素.
结论:
- 这项研究使用大量数据集和全面的协变量分析,为急性尾炎住院费用提供了新的见解.
- 降低成本的建议包括优化治疗策略,并考虑在较低级别或私人医院提供护理.
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