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| Path analysis on the factors influencing hospitalization expenses of the patients undergoing hemorrhoidectomy |
| Xue Junjun1, Wang Heng１,2, Li Niannian2 |
1 School of Health Management, Anhui Medical University, Hefei 230032, China;
2 The First Affiliated Hospital, Anhui Medical University, Hefei 230022, China |
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Abstract Objective To explore the factors influencing hospitalization expenses of the patients undergoing hemorrhoidectomy, and to provide a scientific basis for reasonable control of medical expenses and reduction of the patient′s family and socioeconomic burden. Methods The case information of 469 patients with hemorrhoidectomy in 6 countylevel public hospitals in Anhui Province was collected and path analysis method was used to study the factors influencing hospitalization expenses of the patients with hemorrhoidectomy. Results The average hospitalization days were (5.08±2.59) days, with a median of 5 days; the average hospitalization expenses were (4 632.86±2 212.18) CNY, with a median of 3 578.30 CNY. The path analysis equation model has good goodness of fit and high estimation accuracy (F1=181.727, P<0.001; F2=30.618, P<0.001; R2=0.734). The direct effect of hospitalization days was 0.383; operation costs and south Anhui directly affected hospitalization expenses with direct effects of 0.268 and 0.270; the total number of surgeons and assistants indirectly affected hospitalization expenses only through hospitalization days with indirect effect of 0.123; anesthesia costs, disease outcome, operation grades, and central Anhui directly affected hospitalization expenses, and indirectly affected hospitalization expenses through hospitalization days. The total effects were 0.535, -0.122, 0.318 and -0.484, respectively. Conclusion Anesthesia costs are the most important factor affecting hospitalization expenses of patients with hemorrhoidectomy. In order to reduce hospitalization expenses, it is necessary to take comprehensive measures, adjust the structure of hospitalization expenses, and effectively save medical and health resources, on the basis of shortening the number of invalid hospitalization days and reducing reasonably anesthesia costs.
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Received: 08 August 2021
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