糖尿病患者住院医疗费用的影响因素分析.docVIP

糖尿病患者住院医疗费用的影响因素分析 朱麒钱11．朱麒钱：?浙江省绍兴市人民医院内分泌科主任 1．朱麒钱：?浙江省绍兴市人民医院内分泌科主任医师 312000 2．通信地址：缪凡，lacman@zju.edu.cn; 浙江大学医学院公共卫生系 310031 【摘要】：目的 了解近7年来绍兴市住院糖尿病患者住院总费用的主要影响因素。 方法 通过收集1997-2004年间在绍兴市人民医院住院的糖尿病患者住院费用资料，采用单因素分析和多因素线性回归来探索糖尿病患者总住院费用的主要影响因素。结果 糖尿病患者住院平均总费用为4502.8元，次均日住院费用为393.9元，多因素回归分析结果表明，住院天数、高血压、性别、有无神经病变、心脏病变、肾脏病变、大血管病变、脑血管病变、结石（有肾脏或胆囊结石）、高渗性昏迷、糖尿病足、以及劳动能力、付费方式等13个变量对糖尿病住院总费用影响具有统计学意义（P0.05）。结论 糖尿病各种急慢性并发症、合并症及医疗费用的付款方式影响糖尿病病人住院费用，因此通过早发现、早诊断、早治疗，减轻各种并发症是减少住院糖尿病人费用的有效途径之一。 【关键词】：糖尿病；住院总费用；多因素回归分析 Analysis on the factors influencing cost in diabetes in-patient in shaoxing hospital Zhu Qiqian,Yu Lihong,Guan Lili,et al (The endocrine in shaoxing renmin hospital, shaoxing 312000) 【Abstract】 Objective To investigate the factors influencing the in-patient costs in diabetic patients in shaoxing hospital in last 7 years. Methods All the patients with diabetes in shaoxing hospital during 1997-2004 were analysis for their hospital cost. Firstly the average cost in the hospital was analyzed according to the multivariate regression equation. Results The average total costs medical of diabetic in-patients is 4502.8 yuan, the average daily costs is 393.9 yuan. According to the multivariate regression equation, the factors including the method of the medical expense, the length of hospital days, the chronic complication involving the diseases of nerve, kidney, heart, brain, foot, the acute complication of hyperosmolar coma, were found to be significant correlated to cost in diabetic inpatients. Conclusion The diabetic complications and the method of the medical expense influence the cost of the diabetic inpatients. So controlling the appearance of diabetic complication is one of the best effective way to lessen the medical cost of diabetes. 【Key Word】:Diabetes mellitus, the in-patients Costs, multivariate regression equation 随着人们生活水平的不断提高，饮食结构的改变，劳动强度的减低，应激状态的增多，世界各地糖尿病发病率也逐渐增高。目前全球糖尿病患者已超过1.2亿人，我国患者人数居世界第二，在1994年就已达2000万人。据世界卫生组织预计，到2025年，全球成人糖尿病患者人数将增至3亿，而中国糖尿病患