Analysis on the hospitalization costs differences and its effects on health outcome among the stroke patients
10.3969/j.issn.1674-2982.2016.05.010
- VernacularTitle:脑卒中患者住院费用及预后影响因素研究
- Author:
Yingnan CAO
;
Tianjia GUAN
;
Jinlei LI
;
Yimin QU
;
Ban WANG
;
Yuanli LIU
- Publication Type:Journal Article
- Keywords:
Stroke;
Hospitalization costs;
Health insurance
- From:
Chinese Journal of Health Policy
2016;9(5):54-60
- CountryChina
- Language:Chinese
-
Abstract:
Objective:The paper is designed to reveal differences in stroke patients'hospitalization costs crea-ted by different socioeconomic factors , health insurance and occupational background , and analyze those differences on health outcome .Methods:18879 cases of hospitalized patients with stroke in five tertiary hospitals from four prov-inces from 2011 to 2014 were included in the database .Descriptive statistics was used to describe patients'hospitali-zation costs and health outcome .Multiple linear regression model and logistic regression were used to evaluate the im-pact of insurance and occupation .Results:After controlling for patients'social characteristics , health risks , premise during hospitalization process and clinical characteristics of patients with free healthcare costs , the socialized medi-cine was charged 19.7% higher than the private ones ( P <0.001 ), the retired people and civil servants were charged 4.2%(P<0.001) and 2.9%(P=0.049) more than farmers.The socialized medicine was also associated with health outcome.The risk of death in patients with free medical care is (OR=4.901) compared with private pa-tients (95%CI 1.652~14.537), and the retired people had increased risk of death compared with farmers (OR=2 .145 , 95%CI 1 .287 ~3 .573 ) .Conclusions: Due to the impact of social background factors , some groups are found to have a higher level of expenses than their counterparts during hospitalization , but the more hospitalization costs are not spent the better the health outcome of stroke was achieved .
