[1]韩雪燕 蒋锋 周惠宣 郭默宁 陈吟 刘远立.北京市6 529例精神疾病患者住院费用及影响因素研究[J].中国卫生质量管理,2020,27(03):023-26.
 HAN Xueyan,JIANG Feng,ZHOU Huixuan,et al.Factors Associated with Psychiatric Inpatient Expenses: A Retrospective Analysis on 6 529 Psychiatric Patients in Beijing[J].Chinese Health Quality Management,2020,27(03):023-26.
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北京市6 529例精神疾病患者住院费用及影响因素研究
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《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

卷:
第27卷
期数:
2020年03期
页码:
023-26
栏目:
医疗质量
出版日期:
2020-05-28

文章信息/Info

Title:
Factors Associated with Psychiatric Inpatient Expenses: A Retrospective Analysis on 6 529 Psychiatric Patients in Beijing
作者:
韩雪燕 蒋锋 周惠宣 郭默宁 陈吟 刘远立
中国医学科学院北京协和医学院公共卫生学院
Author(s):
HAN XueyanJIANG FengZHOU Huixuanet al
School of Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College
关键词:
精神专科医院精神疾病患者住院总费用影响因素
Keywords:
Psychiatric Specialized Hospitals Psychiatric PatientsHospitalization Expenses Influencing Factors
分类号:
R197.5;R749.05
文献标志码:
B
摘要:
目的探究精神疾病患者住院总费用的影响因素,为控制住院医疗费用和提高精神专科医院住院医疗结局质量提供参考。方法利用单因素分析和多元线性回归分析,抓取北京市3家三级精神专科医院2016年1月1日-6月1日住院患者的病案首页数据进行统计分析。结果共纳入6 529条患者入院记录,住院总费用中位数为17 772.7元。除患者社会人口学因素、住院天数和诊断类型外,患者共患躯体疾病、是否接受电休克疗法和就诊医院对住院总费用均有显著影响。结论应重视精神疾病患者的共患躯体疾病预防和诊治,治疗方法和就诊医院的机构差异对住院总费用的影响值得进一步研究。
Abstract:
ObjectiveTo identify factors influencing the hospitalization expenses of psychiatry patients,and to provide a reference of controlling hospitalization expenditure and improving the quality of inpatient medical outcomes in psychiatric specialized hospitals.MethodsFront pages of inpatient medical records were extracted from three tertiary psychiatric hospitals from January 1 to June 1 2016 in Beijing, China and analyzed using univariate analysis and multiple linear regression.?倓ResultsA total of 6 529 inpatient records were included with a median hospital expense of 17 772.7 Yuan. In addition to the patients’ socio-demographic factors, length of stay and type of diagnosis, patients’ physical comorbidities, utilization of electroconvulsive therapy, and provider were significantly associated with inpatients expenses. Conclusion Attention should be paid to the prevention and treatment of comorbid physical diseases in patients with mental illness. Further study may focus on the influence of treatment patterns and institutional differences of the hospitals on the total cost of hospitalization.

参考文献/References:

[1]Huang Y, Wang Y, Wang H, et al. Prevalence of mental disorders in China: a cross-sectional epidemiological study[J].The Lancet Psychiatry,2019,6(3):211-224.

更新日期/Last Update: 2020-05-28