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| Analysis of factors influencing hospitalization cost of stroke patients based on structural equation model. |
| Wu Linghong1, Ding Li2, Ding Rensheng1. |
1 The Fourth Affiliated Hospital of Guangxi Medical University, Liuzhou 545005, China;
2 Medical Education Department, Sichuan Provincial People′s Hospital (East Hospital), Chengdu 610101, China |
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Abstract Objective To describe the hospitalization expenses of stroke patients and analyze the influencing factors, so as to provide targeted and operable measures for reasonable control and reduction of hospitalization expenses. Methods Totally 2343 inpatients with stroke (I60-I64) in the inpatient medical record database of a hospital in 2019 were collected, and univariate analysis and path analysis were used to analyze the influencing factors of hospitalization expenses of stroke patients. Results The average hospitalization cost of stroke patients was 21531 yuan. Among them, drug fees and inspection fees accounted for a relatively large proportion. There were statistically significant differences in the number of hospitalization days, drug costs, and total costs of patients with different ages, medical payment methods, service area radius, hospital admissions, presence or absence of hypertension, surgery, and other diagnoses (P<0.05). The SEM results showed that the drug cost (β=0.73, P＜0.05) was the most important influencing factor of hospitalization expenses, followed by the length of hospitalization (β=0.53, P＜0.05). The presence or absence of surgery, admission status, number of other diagnoses, service area radius, age, presence or absence of hypertension, and medical payment methods also had an impact on the cost of hospitalization, with -0.52, 0.14, 0.12, 0.06, -0.06, -0.04, and -0.03 (P<0.05). Conclusion Drug fees, length of stay, surgery, admission status, number of other diagnoses, radius of service area, age, hypertension, and medical payment methods have a significant effect on the total hospitalization cost. Drug cost is the most important factor. The cost of hospitalization of stroke patients can be controlled and reduced by controlling the cost of drugs and shortening the length of hospitalization.
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Received: 29 October 2020
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