2006-2011年广西某精神病专科医院抑郁障碍患者住院费用及其影响因素分析

摘要

Objective To study the composition of hospitalization expenses of patients with depressive disorder and its influencing factors so as to provide a reference for the control of hospital fees.Methods The relevant information about hospitali-zation expenses of 743 patients with depressive disorder was collected from the information management system of a psychiatric hos -pital from the year 2006 to 2011 , and then retrospectively analyzed.The multivariate regression analysis method was applied to an-alyze the factors influencing the expenses.Results In 2006-2011 , the annual average hospitalization expense of patient with depressive disorder was RMB 5 362.45 yuan.Among the hospitalization costs , the treatment cost accounted for 35.3%, followed by drug costs , laboratory test cost.bed cost and others , accounted for 35.30%, 32.56%, 21.63%, 6.29%and 4.22%, re-spectively.Multiple linear regression analysis showed that the hospitalization days were more 〔b =0.066 , 95%CI ( 0.005 , 0.084)〕, and the expense of the patients with medical insurance 〔b=0.586, 95%CI (0.009, 0.036)〕 cost more.Con-clusion How to shorten the hospitalization days of patients with depressive disorder is the key to reduce the patient ′s hospital fees.To shorten the hospitalization time can not only reduce the patient′s hospital fees to relieve their burden , but also speed up the bed turnover to raise the economic benefits of the hospital.%目的：了解抑郁障碍患者住院费用构成及其影响因素，为控制住院费用提供参考依据。方法从广西某精神病专科医院的信息管理系统提取2006-2011年743例抑郁障碍住院患者的住院费用情况进行回顾性调查，采用多元逐步回归模型分析患者住院费用的影响因素。结果2006-2011年抑郁障碍患者例均年住院费用为5362.45元；在各项住院费用中，治疗费占35.30％，药品费占32.56％，检查化验费占21.63％，床位费占6.29％，其他费用占4.22％。多元线性回归分析结果表明，住院天数多〔b＝0.586，95％CI （0.009，0.036）〕、医保的患者〔b＝0.066，95％CI （0.005，0.084）〕住院费用较高。结论缩短抑郁障碍患者的住院天数是降低患者住院费用的关键所在。缩短住院时间，不但可降低患者的住院费用，减轻患者的负担，同时也能加快病床周转，提高医院的经济效益。