Abstract:Objective To analyze the influencing factors and cost structure of hospitalization expenses for patients with chronic hepatitis B in Nantong City, and to provide evidence for medical decision-making of relevant departments. Methods The main information of the medical records of the first-grade diagnosis of ICD-10 coded as B18.1 was collected from a tertiary hospital for infectious diseases in Nantong City in 2017. The main influencing factors of hospitalization expenses were analyzed with the use of single factor method and stepwise multiple linear regression method. And the difference in the composition of hospitalization expenses was analyzed. Results 1)Hospitalization days, clinical features, surgical procedures and complications were the main influencing factors of hospitalization expenses for patients with chronic hepatitis B. The standard partial regression coefficients were 0.545, 0.414, 0.133 and 0.125, respectively. 2) The weighting factors for medicine and inspection fees were relatively high, with 0.52 and 0.22, respectively. Conclusion Active treatment can prevent or delay further deterioration of the disease, and the shortening of the length of hospital stay is the fundamental method to reduce the hospitalization cost of patients with chronic hepatitis B. Rational use of drugs and the prevention of over-examination are also effective ways to control hospitalization costs.
吴俊霞,李育梅. 南通市慢性乙型病毒性肝炎患者住院费用及影响因素分析[J]. 中国医院统计, 2020, 27(2): 132-135.
Wu Junxia, Li Yumei.. Analysis on hospitalization costs and its influencing factors of hospitalized patients with chronic hepatitis B in Nantong City. journal1, 2020, 27(2): 132-135.