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| Analysis on the influencing factors of inpatient expenses for acute myocardial infarction in a tertiary hospital from 2018 to 2020 |
| Shang Di, Zou Fang |
| Department of Medical Records, Xinyang Central Hospital, Xinyang 464000, China |
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Abstract Objective To find out the factors affecting the hospitalization costs, and to provide the basis for the development of reasonable payment standards, through the analysis of 3 732 cases of acute myocardial infarction patients from 2018 to 2020 in a tertiary hospital of a certain city.Methods Descriptive statistical analysis, univariate analysis and multiple regression analysis were used to find out the variables with statistical significance (P<0.05).Results The hospitalization cost of AMI was on the rise from 2018 to 2020, and increased by 9.15% in 2020 compared with that in 2018. The average hospitalization cost was 43 178.58 yuan, and the diagnosis cost accounted for 50.73%, which was the highest among the hospitalization cost components. Drug costs followed, accounting for 23.97%; operation cost accounted for 12.22%; the fourth was the cost of treatment, accounting for 9.81%; the lowest proportion was other expenses, accounting for 7.14%. Age, length of stay, department of discharge, operation, operation method and mode of discharge had influence on hospitalization expenses, among which operations and length of stay had the greatest influence.Conclusion It is necessary to establish and perfect the control mechanism of single disease and constantly improve the construction of chest pain center, to take value oriented medical treatment as the guidance, with reasonable examination and rational drug use, shorten the average hospital stay of patients, and reduce the economic burden of patients.
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Received: 10 May 2021
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