Jia-Xin Liu, Rui-Hong Zhou, Wei-Cheng Deng, Jie Pan, Lu Zhou, Ling Liu, Zhi-Wei Shao, Mei-E Liu
Affiliated Xiangyue Hospital of Hunan Institute of Parasitic Diseases, Hunan Province, Yueyang 414000, China.
Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi. 2016 Apr 18;28(4):365-369. doi: 10.16250/j.32.1374.2015247.
To understand the direct medical expense for surgical patients with splenomegalic advanced schistosomiasis and its influencing factors, so as to provide evidences for relevant departments to improve the rescue strategy of advanced schistosomiasis.
The data about the expenses of patients with splenomegalic advanced schistosomiasis hospitalized in Xiangyue Hospital affiliated to Hunan Institute of Schistosomiasis Control from January 2010 to August 2014 were collected, the hospitalization expense and hospital stays of the patients were analyzed, and the factors influencing the hospital expenses were analyzed by the univariate and multi-factor analyses.
From January 2010 to August 2014, totally 249 cases were hospitalized in the hospital, their average hospital stays and hospital expenses were 28.92 d and 18 896.13 Yuan, and both of them were increased year by year. Among all the kinds of expenses, the constitution ratios of the medicine expenses were the highest, and those in the 5 years were all above 44%. The results of the univariate and multi-factor analyses showed that the hospital stays, the amount of intraoperative bleeding, liver function classification, postoperative complications, age, portal hypertensive gastropathy were the influencing factors of the hospital expenses.
Presently, the burden of the direct hospital expenses of the patients with splenomegalic advanced schistosomiasis is still heavy. The government should further improve the proportion of the compensation of medical assistance and perfect the medical aid scheme. Meanwhile, the hospitals should strengthen the management and standardize medical behavior to reduce the hospitalization expenses of the patients.
了解脾肿大晚期血吸虫病手术患者的直接医疗费用及其影响因素，为相关部门完善晚期血吸虫病救治策略提供依据。
收集2010年1月至2014年8月在湖南省血吸虫病防治所附属湘岳医院住院的脾肿大晚期血吸虫病患者的费用资料，分析患者的住院费用和住院天数，并采用单因素和多因素分析方法分析影响住院费用的因素。
2010年1月至2014年8月，该院共收治249例患者，平均住院天数和住院费用分别为28.92天和18896.13元，两者均逐年增加。在各类费用中，药费构成比最高，5年中均在44%以上。单因素和多因素分析结果显示，住院天数、术中出血量、肝功能分级、术后并发症、年龄、门静脉高压性胃病是住院费用的影响因素。
目前，脾肿大晚期血吸虫病患者的直接住院费用负担仍较重。政府应进一步提高医疗救助补偿比例，完善医疗救助方案。同时，医院应加强管理，规范医疗行为，降低患者的住院费用。
