Analysis on the proportion of drugs in a dermatology hospital and the influencing factors
Lin Jinxiong1， Yu Yao2， Liao Yuehua3， An Ningbo1
1 Dermatology Hospital, Southern Medical University, Guangzhou 510091, China;
2 School of Health Management, Southern Medical University, Guangzhou 510515, China;
3 Foshan Center for Disease Control and Prevention, Foshan 528051, China
Abstract：Objective To explore the influencing factors of the drug proportion in hospitals specializing in dermatology and the relationship paths, so as to provide theoretical basis for scientific control of drug proportion, alleviation of patients′ disease economic burden and hospital management practice.Methods Path analysis was performed on the first page of medical records of 15 315 inpatients in a large tertiary dermatology hospital in Guangdong Province in recent 5 years.Results The average drug proportion of patients was 21.45%, and the median drug proportion was 19.27%. Variables such as gender, marital status, medical insurance, surgery, readmission within a month, use of antibiotics, clinical path, and hospitalization days directly affected the drug proportion, with statistical significance (P<0.05); Bootstrap test showed that surgery, hospitalization days, medical insurance, marital status, readmission within a month, clinical path, use of antibiotics, gender, case type, age, nosocomial infection and complications could indirectly affect the proportion of drugs through the effects on hospitalization days (P<0.05).Conclusion In order to rationalize the drug proportion control, it is necessary to strengthen the grasp of controllable factors such as hospitalization days and surgery, take reasonable measures to transform uncontrollable factors such as gender, age, marital status into controllable factors, and accurately implement policies to achieve the effect of comprehensive management of the drug proportion and keep them in a reasonable range, so as to reduce the economic burden of patients and improve the quality of medical services and people′s livelihood.
林金雄，于瑶，廖月华，安宁波. 皮肤病专科医院药占比及影响因素分析[J]. 中国医院统计, 2022, 29(4): 287-291.
Lin Jinxiong，Yu Yao，Liao Yuehua，An Ningbo. Analysis on the proportion of drugs in a dermatology hospital and the influencing factors. journal1, 2022, 29(4): 287-291.
