根据路径分析,根据患者住院费用的组成和影响因素
Jing Gong1, Nian Li2, Ying Wang3
1West China Hospital of Stomatology Sichuan University, Chengdu, 610041, China.
International journal for equity in health
|August 7, 2024
概括
住院费用主要取决于诊断和住院时间. 了解这些因素可以帮助减少发展中国家患者的财务负担.
科学领域:
- 医学经济学 医学经济学
- 公共卫生 公共卫生
- 神经学 神经学
背景情况:
- 是一种严重的疾病负担,特别是在低收入和中等收入国家.
- 了解住院费用对于制定有针对性的降低成本策略至关重要.
研究的目的:
- 分析患者住院费用的组成.
- 确定影响这些成本的直接和间接因素.
- 为减少发展中国家病的经济影响提供数据.
主要方法:
- 从2018年至2020年间,对4206例入院病例进行了回顾性分析.
- 用于成本组成分析的描述性统计数据.
- 路径分析以确定影响住院费用的因素.
主要成果:
- 平均住院费用为4,299.93元人民币,平均住院时间为2.47天.
- 诊断成本占总开支的50%以上,其次是医疗服务和药物.
- 住院时间长,紧急住院和并发症显著影响了成本.
结论:
- 诊断成本和住院时间是患者住院医疗费用的主要驱动因素.
- 医院的质量控制通常很好,但需要通过临床途径对诊断和治疗进行标准化.
- 研究结果为在资源有限的环境中管理相关的医疗保健成本提供了洞察力.
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