發(fā)布時(shí)間：2018-04-22 07:21

  本文選題：包蟲(chóng)病 + 住院費(fèi)用��； 參考：《石河子大學(xué)》2013年碩士論文

【摘要】：目的： 調(diào)查2007-2011年新疆生產(chǎn)建設(shè)兵團(tuán)包蟲(chóng)病住院病人的一般信息與費(fèi)用資料，分析兵團(tuán)包蟲(chóng)病住院醫(yī)療費(fèi)用現(xiàn)狀，探討其主要影響因素，為衛(wèi)生決策者提供參考依據(jù)。 方法： 本研究收集新疆生產(chǎn)建設(shè)兵團(tuán)2007-2011年一家三級(jí)醫(yī)院與六家二級(jí)醫(yī)院包蟲(chóng)病患者病例首頁(yè)資料及住院醫(yī)療費(fèi)用信息，用Excel2007建立數(shù)據(jù)庫(kù)及校對(duì)，利用SPSS17.0軟件對(duì)數(shù)據(jù)進(jìn)行統(tǒng)計(jì)描述，采用非參秩和檢驗(yàn)對(duì)影響因素進(jìn)行單因素分析，采用多元逐步回歸方法對(duì)影響因素進(jìn)行多因素分析，評(píng)價(jià)各因素對(duì)包蟲(chóng)病住院費(fèi)用的影響及控制對(duì)策。 結(jié)果： 1.新疆生產(chǎn)建設(shè)兵團(tuán)2007-2011年七家?guī)熱t(yī)院共收治529例住院病人。年齡從7歲到88歲不等，其中以30~45歲居多；民族以漢族為主，占81%；職業(yè)以農(nóng)牧民為主；農(nóng)村患者多于城鎮(zhèn)患者，，依次占59.36%和40.64%；自費(fèi)患者比例高于醫(yī)�；颊�，各占82.4%和17.5%；住院天數(shù)集中在10~19天，平均住院日為19天；三級(jí)醫(yī)院平均住院日為18天，二級(jí)醫(yī)院為20天；治愈與好轉(zhuǎn)患者手術(shù)率為87.8%（389/443）。 2.人均住院費(fèi)用從2007年的12191.89元上升到2011年的19154.48元；其中漢族16233.90元，排名第一，其次為回族15059.29元；職業(yè)中以干部位居第一18031.87元；城鎮(zhèn)與農(nóng)村患者相近，依次為15867.80元和15844.25元；自費(fèi)患者高于醫(yī)�；颊邽�15305.59元和14033.68元；手術(shù)患者遠(yuǎn)高于非手術(shù)患者依次為19239.53元與5713.57元；三級(jí)醫(yī)院高于二級(jí)醫(yī)院患者為15565.65元與10872.70元。 3.本研究中對(duì)包蟲(chóng)病住院費(fèi)用的分析重點(diǎn)選擇了住院總費(fèi)用中的藥品費(fèi)、治療費(fèi)、檢查費(fèi)、手術(shù)費(fèi)、床位費(fèi)和其它費(fèi)用作為分析指標(biāo)。其中藥品費(fèi)用均數(shù)最高，為5520.2元，其次為檢查費(fèi)用2420.6元；除治療費(fèi)用以外，其他費(fèi)用三級(jí)醫(yī)院均高于二級(jí)醫(yī)院。 4.經(jīng)單因素與多因素分析結(jié)果顯示，包蟲(chóng)病住院費(fèi)用的影響因素是多方面的，住院天數(shù)、出院情況、住院年份、年齡、負(fù)擔(dān)方式、民族、居住地是住院費(fèi)用的主要影響因素。 結(jié)論： 1.盡管國(guó)家加大了對(duì)包蟲(chóng)病手術(shù)患者的補(bǔ)助，但隨著近年來(lái)住院費(fèi)用的不斷上漲，新疆生產(chǎn)建設(shè)兵團(tuán)包蟲(chóng)病患者個(gè)人仍需承擔(dān)較高的費(fèi)用。 2.從住院費(fèi)用支付形式來(lái)看，新疆生產(chǎn)建設(shè)兵團(tuán)包蟲(chóng)病患者參加醫(yī)療保險(xiǎn)補(bǔ)助體系的比例仍然很低。 3.從醫(yī)院級(jí)別來(lái)看，新疆生產(chǎn)建設(shè)兵團(tuán)三級(jí)醫(yī)院包蟲(chóng)病患者住院人數(shù)與住院費(fèi)用均高于二級(jí)醫(yī)院，但三級(jí)醫(yī)院的包蟲(chóng)病患者住院人數(shù)呈現(xiàn)逐年遞減趨勢(shì)。 4.藥品費(fèi)、檢查費(fèi)在新疆生產(chǎn)建設(shè)兵團(tuán)包蟲(chóng)病患者住院費(fèi)用中用占有較大比例，而且仍然存在增長(zhǎng)過(guò)快現(xiàn)象。
[Abstract]:Objective: To investigate the general information and cost data of hospitalized patients with hydatid disease in Xinjiang production and Construction Corps from 2007 to 2011, to analyze the present situation of hospitalization medical expenses of echinococcosis in Xinjiang production and Construction Corps, to discuss the main influencing factors, and to provide reference basis for health decision makers. Methods: This study collected the data of the first page of cases of hydatid disease in a third class hospital and six level II hospitals of Xinjiang production and Construction Corps from 2007 to 2011, and used Excel2007 to set up a database and proofread the data, and to use SPSS17.0 software to carry on the statistical description to the data. Non-parametric rank sum test was used to analyze the influencing factors and multivariate stepwise regression was used to analyze the influencing factors to evaluate the influence of various factors on the hospitalization expenses of hydatid disease and the control measures. Results: 1. Xinjiang production and Construction Corps in 2007-2011 seven division hospitals a total of 529 hospitalized patients. The ages ranged from 7 to 88 years, of which 300-45 years were the majority; ethnic groups were the Han nationality, accounting for 81%; the occupation was mainly farmers and herdsmen; rural patients were more than urban patients, accounting for 59.36% and 40.64%, respectively; and the proportion of self-funded patients was higher than that of medical insurance patients. The average hospitalization days were 1019 days, 18 days in the third class hospital and 20 days in the second class hospital, and the operative rate of the cured and improved patients was 87.8%. 2. The cost of hospitalization per capita increased from 12191.89 yuan in 2007 to 19154.48 yuan in 2011, including 16233.90 yuan for Han nationality, the first for Han nationality, 15059.29 yuan for Hui nationality, 18031.87 yuan for cadres, 15867.80 yuan for urban patients and 15844.25 yuan for rural patients. The self-funded patients were 15305.59 yuan and 14033.68 yuan higher than the medical insurance patients; the operation patients were 19239.53 yuan and 5713.57 yuan respectively higher than the non-operative patients; the third class hospitals were 15565.65 yuan and 10872.70 yuan higher than the second-class hospitals. 3. In this study, the cost of hospitalization for hydatidosis was analyzed by selecting the total cost of drugs, treatment, examination, operation, bed and other expenses as the analysis index. The average cost of drugs is the highest, which is 5520.2 yuan, followed by 2420.6 yuan of inspection expenses, except for the treatment expenses, the other three level hospitals are all higher than the second class hospitals. 4. The results of univariate and multivariate analysis showed that there were many factors affecting the hospitalization cost of hydatid disease. The days of hospitalization, discharge, year of hospitalization, age, burden mode, nationality and residence were the main factors affecting the cost of hospitalization. Conclusion: 1. Although the state has increased the subsidies for patients undergoing echinococcosis surgery, with the increasing cost of hospitalization in recent years, individuals of echinococcosis patients in Xinjiang production and Construction Corps still have to bear higher costs. 2. The proportion of patients with hydatid disease in Xinjiang production and Construction Corps is still very low. 3. From the hospital level, the number and expense of patients with hydatid disease in the third level hospital of Xinjiang production and Construction Corps were higher than those of the second class hospital, but the number of patients with hydatid disease in the third level hospital showed a decreasing trend year by year. 4. In Xinjiang production and Construction Corps, the cost of medicine and examination accounts for a large proportion of the cost of hospitalization of patients with hydatid disease, and there is still a phenomenon of excessive growth.
【學(xué)位授予單位】：石河子大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2013
【分類號(hào)】：R825.3

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 曹得萍,王虎,馬淑梅,趙海龍,劉鳳潔;青海省甘德縣人群包蟲(chóng)病流行病學(xué)調(diào)查[J];青海醫(yī)學(xué)院學(xué)報(bào);2000年02期

2 柴君杰;焦偉;伊斯拉音;常青;孟賀巴特;付承;韓玲玲;徐世東;孫立峰;白國(guó)琦;賽力克;馬合木提;多魯肯;薛�；I;馮正;;新疆北部地區(qū)囊型包蟲(chóng)病的流行現(xiàn)狀[J];熱帶病與寄生蟲(chóng)學(xué);2004年03期

3 柴君杰,焦偉,伊斯拉音,常青,付承,張可久,溫靖玄,孫立峰,徐世東,李微麗,木漢;囊型包蟲(chóng)病綜合性防治試點(diǎn)研究初報(bào)[J];熱帶病與寄生蟲(chóng)學(xué);2005年02期

4 馬淑梅;王虎;李衛(wèi)敏;;青南地區(qū)1997～2001年包蟲(chóng)病資料分析[J];熱帶醫(yī)學(xué)雜志;2006年01期

5 邱加閩,李調(diào)英,王虎,伊藤亮,劉鳳潔,Peter M Schantz;青藏高原5縣包蟲(chóng)病血清學(xué)與影像學(xué)診斷結(jié)果比較[J];寄生蟲(chóng)病與感染性疾病;2003年03期

6 鄭湖琴,陳玉芬;住院費(fèi)用的現(xiàn)狀分析與思考[J];統(tǒng)計(jì)與決策;2003年04期

7 薛明,陳育德,毛嘉文;九十年代我國(guó)醫(yī)院醫(yī)療費(fèi)用的走勢(shì)及原因分析[J];衛(wèi)生經(jīng)濟(jì)研究;2000年03期

8 于德志;;我國(guó)衛(wèi)生總費(fèi)用變化趨勢(shì)與深化醫(yī)改政策建議[J];衛(wèi)生經(jīng)濟(jì)研究;2009年08期

9 王莉燕,盧祖洵;綜合性醫(yī)院大額住院醫(yī)療費(fèi)用分析[J];醫(yī)學(xué)與社會(huì);2005年10期

10 吳繼紅;;邊疆地區(qū)包蟲(chóng)病流行的原因及防治對(duì)策[J];醫(yī)學(xué)信息;2007年04期

本文編號(hào)：1786185