老年慢性呼吸系统疾病住院患者直接经济负担及影响因素研究
Influencing factors of economic burden of chronic respiratory disease in elderly patients
目的 分析辽宁某地区老年慢性呼吸系统疾病住院患者的费用支出,探讨影响老年患者疾病直接经济负担的因素,为减轻老年人经济负担提供依据.方法 采用目的抽样的方法,以符合纳入标准的284例老年呼吸系统慢性病住院患者为研究对象,通过一般资料调查表、简易老年抑郁量表(GDS-15)、欧洲五维健康量表(EQ-5D)中文版,进行资料收集.采用SPSS 17.0统计软件对数据进行统计分析.结果 住院费用为(8810.80±4290.90)元,其中经济负担最大的部分是医药费,占总花费的54.18%.相关性分析及多元回归分析结果显示,住院天数(r=0.822)、患者抑郁状况(GDS-15值,r=0.558)、患者健康状况(EQ-5D值,r=0.486)、主要医保报销范围(r=0.290)、是否服用保健类药(r=0.226)、疾病转归(r=0.188)、入院前措施(r=0.158)、慢性合并症(r=0.143)、医保报销比例(r=-0.211)这9项因素对本次受调查的老年慢性呼吸系统疾病住院患者的经济负担产生明显影响.结论 影响老年慢性呼吸系统疾病住患者的直接经济负担的因素为:住院天数、抑郁水平、主要医保报销范围、合并慢性病、服用保健药、健康状况、疾病转归,其中住院天数对疾病经济负担的影响最大.
更多Objective To investigate cost and influencing factors of the economic burden of chronic respiratory disease in hospitalize elderly patients. Methods A convenience sample of 284 elderly patients with chronic respiratory disease, investigated with Geriatric Depression Scale (GDS-15) and EuroQol-5 Dimensions (EQ-5D). Results The hospitalization expenses was (8 810.80 ± 4 290.90) yuan,especially medical costs was the highest(54.18%).Correlation analysis and the outcome of multiple lineal stepwise regression reveals that durations of hospitalization (r=0.822), value of GDS-15 (r=0.558), value of EQ-5D (r=0.486), medical insurance types (r=0.290), nutrition medicine (r=0.226), prognosis of disease (r=0.188), measures of PTA (r=0.158), chronic complications (r=0.143) and reimbursement ratio (r=-0.211) were related with the direct economic burden (P<0.05). Conclusion The durations of hospitalization,degree of depression,medical insurance types,complications,nutrition medicine,level of healthy,and the antibacterial effect are the main influence factors of the direct economic burden.Among them,the durations of hospitalization is more severe.
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