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孙 燕,励建安,许家仁.脑卒中患者康复住院费用结构及影响因素分析[J].中国康复医学杂志,2010,25(11):1061~1066
脑卒中患者康复住院费用结构及影响因素分析    点此下载全文
孙 燕  励建安  许家仁
江苏省老年医学研究所,210024
基金项目:江苏省老年医学研究所课题(L200710)
DOI:
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摘要:
      摘要 目的:分析脑卒中康复住院费用结构及其主要影响因素。 方法:脑卒中康复治疗出院患者896例,回顾性分析住院费用结构,单因素方差分析及多元线性逐步回归分析住院费用影响因素。 结果:脑卒中康复住院费用中治疗费占49%(其中康复治疗费占38%),西药费占28%,床位费占14%,化验费、检查费和放射费合计不足5%;单因素分析显示:12个变量中有9个因素与住院费用有关(P<0.05);多元线性回归分析模型纳入5个变量,共解释65.3%住院费用。 结论:脑卒中康复住院费用可以降低药占比,改善住院费用结构,但与国际水准仍有差距;住院费用的主要影响因素为住院天数、入院时改良巴氏指数分值、伴随病个数、工作状况和支付方式。
关键词:脑卒中  康复住院费用  结构  影响因素
Analysis on the structure and influential factors of rehabilitation hospitalization costs of stroke patients    Download Fulltext
Medical insurance office,Jiangsu province geriatric institute,Nanjing,210024
Fund Project:
Abstract:
      Abstract Objective: To analyze the composition and influential factors of rehabilitation hospitalization costs of stroke patients. Method: An analysis was performed based on 896 patients′ records from two hospitals between October 1, 2004 and April 21, 2009. Descriptive statistical method was used to analyze the characteristic and rationality of hospitalization costs. The main influential factors were examined via analyses of variance and multiple linear regression. Result:①Among the total expense, expense for rehabilitation treatment was the highest, accounted up to 38%, drug accounted 28%, bed accounted 14%, X-ray, examinations and tests accounted less than 5%.②The results of regression analysis showed that 5 variances explained 65.3% of the costs amounts. Conclusion: Hospitalization rehabilitation costs could reduce the drug costs, but its structure was not reasonable. Duration of stay, the level of modified Barthel index (MBI) at admission, job status, the number of comorbidities and payment way were the main influential factors.
Keywords:stroke  rehabilitation hospitalization costs  structure  influential factors
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