Influencing Factors of indirect hospitalization cost in Changsha tertiary hospitals

Abstract

To understand the indirect hospitalization cost and its influencing factors, we selected 195 patients from three hospitals as samples and did a series of questionnaire survey. Adopting descriptive analysis and single factor analysis, we found that in different age group the patients of six to ten bear the most expensive indirect hospitalization cost. In addition, the indirect hospitalization cost of unemployed patients was higher than other occupations. The longer patients stay in hospital or hire carers, the higher they spend on indirect hospitalization cost. Among different diseases, the childhood leukemia bear the highest indirect hospitalization cost , then the colorectal cancer. The indirect hospitalization cost of hyperthyroidism patients was the lowest. 长沙市三级医院住院患者间接医疗费用影响因素分析 杜颖,王丹,吴小庆,张谧 湖南中医药大学管理系,岳麓,长沙,湖南,中国 710599369@qq.com,1767994750@qq.com, 616367482@qq.com,13176353@qq.com 通讯作者 关键词:住院患者; 间接医疗费用; 影响因素 中文摘要:为了解居民住院间接医疗费用状况,探讨其影响因素,在长沙市随机选取三家医 院的 195 位患者进行问卷调查,采用描述性分析、单因素分析方法进行影响因素分析。结果 显示,6-10 岁患者住院间接费用在各年龄段中最高;无业患者的间接费用高于其他职业类型; 住院天数、雇佣专业看护天数越多,间接费用越高;从病种来看,儿童白血病患者的间接费 用最高,其次是结肠癌,甲亢患者的间接费用最低。 1. 引言 随着医学技术的进步、疾病谱的改变、人口老龄化以及卫生服务需求的不断扩展,住院 医疗费用呈现快速增长的趋势。由于生物—社会—心理医学模式的普及,人们逐渐意识到 间接费用带来的巨大疾病负担,不仅仅是在经济方面,更重要的是在心理层面产生影响。对 住院病人医疗费用影响因素的识别和作用描述,在整个医疗保障制度运转中有极为重要的作 用。目前,国内对于医疗费用的分析大多集中在直接费用上,对于间接费用的探讨较少。 间接费用主要指门诊或住院过程中未直接用于医疗服务所花费的费用,包括住宿费、伙食费、 营养费及陪护费等。鉴于此,根据湖南省自身的经济和社会发展特点,选取长沙市三家医院 4th International Conference on Humanities Science and Society Development (ICHSSD 2019) Copyright © 2019, the Authors. Published by Atlantis Press. This is an open access article under the CC BY-NC license (http://creativecommons.org/licenses/by-nc/4.0/). Advances in Social Science, Education and Humanities Research, volume 328