DiFazio Rachel L, Vessey Judith A
Department of Orthopedics, Children's Hospital Boston, USA.
J Child Health Care. 2013 Sep;17(3):230-41. doi: 10.1177/1367493512461459. Epub 2013 May 27.
Little is known about the nonmedical out of pocket expenses (NOOPEs) incurred by families of hospitalized children. The purpose of this study is to help nurses, other healthcare providers, hospital administrators, and policymakers better understand the NOOPEs incurred by families during their child's hospitalization. Parents of children (n = 50) who underwent orthopedic surgery at a major tertiary-care children's hospital reported all NOOPEs incurred during their child's hospitalization. Descriptive statistics and univariate and multiple logistic regression analyses were used to analyze the data. The total NOOPEs ranged from $17.00 to $4745.00 (M = $736.21) per hospitalization, with 2096 missed hours from work. Length of stay, gross family income, distance from the hospital, and Hollingshead score are significant predictors of expenses (F-ratio = 732.88, p < 0.001). Hospitalization is associated with numerous NOOPEs. Future research needs to investigate the total array of expenses to families.
关于住院儿童家庭产生的非医疗自付费用（NOOPEs），人们了解甚少。本研究的目的是帮助护士、其他医疗服务提供者、医院管理人员和政策制定者更好地了解家庭在孩子住院期间产生的非医疗自付费用。在一家大型三级儿童专科医院接受骨科手术的儿童（n = 50）的家长报告了孩子住院期间产生的所有非医疗自付费用。使用描述性统计以及单变量和多变量逻辑回归分析来分析数据。每次住院的非医疗自付费用总额在17.00美元至4745.00美元之间（中位数 = 736.21美元），误工时长达到2096小时。住院时长、家庭总收入、与医院的距离以及霍林斯黑德社会地位指数是费用的显著预测因素（F值 = 732.88，p < 0.001）。住院会产生大量非医疗自付费用。未来的研究需要调查家庭的全部费用情况。
