某三级甲等中医医院儿科病房肺炎患儿住院费用影响因素分析

doi:10.3969/j.issn.1006-5253.2019.02.011

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Abstract ObjectiveTo study the related influencing factors of hospitalization expenses for children with pneumonia in pediatric wards of the gradeA tertiary Chinese medicine hospital, in order to provide information for reducing the economic burden of children with pneumonia. Methods Totally 2186 cases of children with pneumonia who were hospitalized in the pediatric wards of the grade-A tertiary chinese medicine hospital from July 2016 to September 2018 were observed to analyze the general information, medical status and hospitalization expenses of the children, and explore the related factors affecting the hospitalization expenses of children with pneumonia. Results The total hospitalization cost of 2186 children was 7.78 million yuan, of which the medical expenses, nursing expenses and food expenses were relatively small. The results of multiple linear regression analysis showed that the age, disease classification, comorbidity, hospitalization time, payment method, disease outcome, and discharge diagnosis of children with pneumonia in pediatric ward were the influencing factors of self-paying hospitalization expenses. The difference was statistically significant (P<0.05). Conclusion In children with pneumonia in the pediatric ward of Chinese medicine hospitals, reducing the incidence of comorbidities and shortening the hospital stay can help reduce hospitalization costs. In addition, it is necessary to carry out comprehensive reforms of separate medicines, appropriately reduce the cost of medicines, increase the proportion of social insurance payments, and give full play to the role of medical insurance, which will help to further reduce the economic burden of children and their families.

Key words： grade-A tertiary Chinese medicine hospital pediatric ward pneumonia hospitalization expense influencing factor

Received: 15 February 2019

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	Articles by authors
	Fu Aixia
	Zhao Yingjuan
	Shen Huaqi

Cite this article:

Fu Aixia,Zhao Yingjuan,Shen Huaqi. Analysis of related factors influencing hospitalization expenses of children with pneumonia in pediatric wards of a grade-A tertiary Chinese medicine hospital[J]. journal1, 2019, 26(2): 119-122.

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http://manu58.magtech.com.cn/Jwk_zgyytj/EN/10.3969/j.issn.1006-5253.2019.02.011 OR http://manu58.magtech.com.cn/Jwk_zgyytj/EN/Y2019/V26/I2/119

［1］郭玮，田曼.儿童重症肺炎的病原学特点及诊治进展［J］.国际呼吸杂志，2017，37（3）：216-220.

［2］郝鑫鑫，李莉.山西省儿童支气管肺炎住院费用及其影响因素的分［J］.中华临床医师杂志，2016，40（14）：2214-2218.

［3］SEO YH, KIM JS, SEO SC, et al. Predictive value of Creactive protein in response to macrolides in children with macrolideresistant Mycoplasma pneumoniae pneumonia ［J］. Korean J Pediatr,2014,57(4):186192.

［4］贺引，叶孟良.肺炎儿童住院费用影响因素的通径分析［J］.重庆医学，2015，44（16）：22472249.

［5］李珍，顾承萍，黄烈平，等.5岁以下重症肺炎患儿动脉血乳酸、D－二聚体和降钙素原变化分析［J］.浙江预防医学，2016，28（5）：520-522，526.

［6］林江涛，邢斌，唐华平，等.2013—2014年我国城区支气管哮喘急性发作住院患者的临床特征及住院费用的回顾性调查［J］.中华结核和呼吸杂志，2017，40（11）：830-834.
［7］张越伦，韩立中，杨智荣，等.多中心多重耐药菌医院感染肺炎危险因素研究［J］.中国感染控制杂志，2014，11（9）：513-517，523.

［8］和一恒，任贺，贾金忠，等.某中医医院缺血性脑卒中患者住院费用影响因素分析［J］.中国病案，2018，19（6）：27-31.

［9］邓中华，陈玮，刘俊.小儿肺炎支原体肺炎血清与支气管肺泡灌洗液IL6、IL-10表达情况研究［J］.实用预防医学，2015，22（3）：303-304，288.

［10］AGHAI ZH, SASLOW JG, NAKHLA T, et al. Synchronized nasal intermittent positive pressure ventilation ( SNIPPV ) decreases work of breathing (WOB) in premature infants with respiratory distress syndrome (RDS) compared to nasal continuous positive airway pressure（NCPAP) ［J］.Pediatr Pulmonol,2016,41(16):875-881.

［11］罗婷，张川，张伶俐，等.2015年西南某三级妇女儿童医院儿童住院患者疾病构成和费用情况调查［J］.中国病案，2017，18（11）：71-76.

［12］翟文慧，路晶凯，黄志刚.肺部感染评分对老年重症肺炎患者抗菌药物选择的干预及对预后的影响［J］.医学综述，2015，21（6）：1114-1116.

［13］胡静康，徐保平，申昆玲.北京市某医院儿童肺炎患者住院费用及其影响因素分析［J］.中国卫生信息管理杂志，2018，15（2）：211-216.

［14］YONG SC, CHEN SJ, BOO NY. Incidence of nasal trauma associated with nasal prong versus nasal mask during continuous positive airway pressure treatment in very low birthweight infants: a randomised control study［J］.Arch Dis Child Fetal Neonatal Ed,2015,90(6):480-483.

［15］张爱琴，苏虹，王杨，等.某医院城乡儿童肺炎患者住院费用及影响因素分析［J］.中华疾病控制杂志，2016，20（3）：317-319.

［16］WON LT , WOO HJ , JUNGWAN Y , et al. Unplanned Extubation in Patients with Mechanical Ventilation: Experience in the Medical Intensive Care Unit of a Single Tertiary Hospital［J］. Tuberculosis and Respiratory Diseases, 2015, 78(4):336-340.

［17］梁景星.佛山市南海区肺炎单病种住院费用因子分析［J］.中国卫生统计，2017，34（5）：803-804.

［18］张璞.2013年度某医院十种常见疾病医保患者住院费用调查及影响因素分析［J］.中国卫生经济，2015，34（8）：38-40.

［19］张华俐，王超，张蕊，等.发光免疫分析仪联合检测超敏C反应蛋白、降钙素原及免疫功能对小儿肺炎诊断的价值［J］.中国医学装备，2016，13（12）：109-112.

［20］朱晨，陈淑贤，钟帆，等.肺部感染患者住院费用及病死率的影响因素分析［J］.中国感染控制杂志，2015，14（4）：249-253.