Analysis of hospitalization cost and influencing factors of diabetic patients in rural areas of Hunan Province-- Take Wugang as an example
10.3969/j.issn.1006-2483.2021.03.005
- VernacularTitle:湖南省农村地区糖尿病患者住院费用及影响因素分析
- Author:
Ran LI
1
,
2
;
Liuyi WEI
3
;
Zongfu MAO
1
,
2
Author Information
1. School of Health Sciences，Wuhan University，Wuhan 430071，China
2. Global Health Institute，Wuhan University，Wuhan 430072，China
3. Health Supervision Institute of Guangxi Zhuang Autonomous Region，Nanning 530021，China
- Publication Type:Journal Article
- Keywords:
Diabetes;
Hospitalization expenses;
Structural change analysis;
BP neural network model
- From:
Journal of Public Health and Preventive Medicine
2021;32(3):20-23
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the composition and influencing factors of hospitalization expenses for diabetic patients，and to provide reference for effective control of medical expenses. Methods The hospitalization cost data of diabetes patients in rural areas of Wugang from 2013 to 2017 were collected. Structural change analysis，non-parametric test and BP (Back Propagation)neural network model were used to analyze the hospitalization expenses and influencing factors. Results The top three components of hospitalization expenses were drug cost (50.02%), examination cost (15.35%) and laboratory cost (12.06%). The contribution rates of structural change of hospitalization expenses were the examination fee (41.00%), drug fee (34.92%) and treatment fee (13.41%), respectively. Factors affecting the total hospitalization cost of diabetic patients included length of stay, operation or not, hospital level, age, discharge year, complication or not and gender (P<0.05), among which length of stay had the greatest impact (sensitivity value was 0.669). Conclusion The hospitalization expenses of patients with diabetes is affected by a variety of factors. It is suggested to optimize the composition of hospitalization expenses by improving the price mechanism of medical services, and to control and reasonably reduce hospitalization expenses by implementing standardized management of clinical pathways, implementing two-way referral and strengthening tertiary prevention.
