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[1]张琪魏丹高玥珊蒋婷婷陈茜.940例老年慢病终末期患者住院费用影响因素分析[J].中国卫生质量管理,2024,31(04):37-42.[doi:10.13912/j.cnki.chqm.2024.31.4.08]
　ZHANG Qi,WEI Dan,GAO Yueshan,et al.Analysis of Influencing Factors of Hospitalization Cost in 940 Elderly Patients with End-Stage Chronic Disease[J].Chinese Health Quality Management,2024,31(04):37-42.[doi:10.13912/j.cnki.chqm.2024.31.4.08]

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940例老年慢病终末期患者住院费用影响因素分析

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 第31卷期数: 2024年04期页码: 37-42 栏目: 医疗质量出版日期: 2024-04-15

Title:: Analysis of Influencing Factors of Hospitalization Cost in 940 Elderly Patients with End-Stage Chronic Disease

作者:: 张琪魏丹高玥珊蒋婷婷陈茜; 四川大学华西医院老年医学中心/四川大学华西护理学院

Author(s):: ZHANG Qi; WEI Dan; GAO Yueshan; et al; Geriatrics Center,West China Hospital,Sichuan University/West China School of Nursing

关键词:: 慢性疾病; 终末期; 老年患者; 住院费用

Keywords:: Chronic Diseases; End-Stage; Elderly Patients; Hospitalization Expenses

分类号:: R197.3

DOI:: 10.13912/j.cnki.chqm.2024.31.4.08

文献标志码:: A

摘要:: 目的探讨老年慢病终末期患者住院费用影响因素，为控制医疗费用增长和促进安宁疗护发展提供参考。方法回顾性分析某院2021年1月1日-12月31日940例老年慢病终末期死亡患者病历资料，采用描述性分析、单因素方差分析、多元线性回归分析等对住院费用及影响因素进行统计分析。结果老年慢病终末期患者住院天数中位数为13 d，住院费用中位数为59 817.91元。住院天数、手术、转ICU、付费方式、使用胃管、使用气管插管、入院途径等为老年慢病终末期患者住院费用的主要影响因素（P＜0.05）。结论老年慢病终末期患者住院费用受多种因素影响。建议推广价值医疗理念，推行DRG/DIP付费制度，优化临床路径，建立综合医院与安宁疗护机构双向转诊制度，推广预立医疗照护计划等，提高患者生存质量，减少医疗资源浪费。

Abstract:: ObjectiveTo explore the factors influencing the hospitalization expenses of elderly patients with end-stage chronic diseases, and to provide reference for controlling the increase of medical expenses and promoting the development of hospice care.MethodsThe medical records of 940 elderly patients with end-stage death from chronic diseases in a hospital from January 1 to December 31, 2021 were retrospectively analyzed. Descriptive analysis, one-way analysis of variance and multiple linear regression were used to make statistical analysis of hospitalization costs and influencing factors.ResultsThe median length of hospitalization was 13 days and the median cost of hospitalization was 59 817.91 yuan. Length of stay, operation, ICU transfer, payment method, use of gastric tube, tracheal intubation and admission route were the main influencing factors of hospitalization cost in elderly patients with end-stage chronic diseases(P<0.05).Conclusion The hospitalization cost of elderly patients with end-stage chronic diseases was affected by many factors. It is suggested to promote the concept of value medicine, implement the DRG/DIP payment system,optimize clinical pathways, establish a two-way referral system between general hospitals and hospice institutions, popularize pre-established medical care plans, etc., so as to improve the quality of life of patients and reduce the waste of medical resources.

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更新日期/Last Update: 2024-04-15