Zhou Yang, Chen Cheng, Jiang Hui, Pan Hong-Qiu, Zhu Li-Mei, Lu Wei
Department of Chronic Disease Control and Prevention, Centers for Disease Control and Prevention of Jiangsu Province, 172 Jiangsu Road, Nanjing, 210009, Jiangsu Province, People's Republic of China.
Centers for Disease Control and Prevention of Zhenjiang City, Zhenjiang, Jiangsu Province, People's Republic of China.
BMC Health Serv Res. 2019 Jan 18;19(1):47. doi: 10.1186/s12913-019-3892-9.
Tuberculosis patients often experience hospitalization. Inpatient services may result in high medical expenditures. It is important to explore the hospitalization rates of tuberculosis patients and the potential factors that are associated with admission rates and inpatient service expenditures.
Data from patients diagnosed and treated at the No.3 hospital of Zhenjiang City from Apr. 2014 to Mar. 2015 were obtained. Univariate and multivariate statistical analyses were applied for the analysis of potential factors associated with admission rates, average length of stay and cost.
A total of 356 tuberculosis patients were treated at the No.3 hospital of Zhenjiang City. A total of 221 of the 356 patients were hospitalized. Sputum smear test results and type of health insurance were the potential factors associated with hospitalization rates. The average admission was (1.26 ± 0.64) per patient. The average length of stay of inpatients was 29.99 ± 25.83 days. Age, occupation, and sputum smear test were related to the average length of stay. The average total cost to inpatients was 13007.91 ± 5205.58 CNY. The sputum smear test results, type of health insurance, occupation and age were the main potential factors associated with TB inpatient expenditures.
The admission rate of tuberculosis patients was high. Despite advances in TB insurance policies, there were substantial costs associated with TB diagnosis and treatment. TB patients still face a heavy financial burden. Health care providers should revise the service package and reform the health insurance regulations to ensure that TB patients receive appropriate care.
结核病患者常需住院治疗。住院服务可能导致高额医疗费用。探究结核病患者的住院率以及与住院率和住院服务费用相关的潜在因素很重要。
获取2014年4月至2015年3月在镇江市第三医院诊断和治疗的患者数据。采用单因素和多因素统计分析来分析与住院率、平均住院时间和费用相关的潜在因素。
镇江市第三医院共治疗了356例结核病患者。356例患者中共有221例住院。痰涂片检查结果和医保类型是与住院率相关的潜在因素。每位患者的平均住院次数为（1.26±0.64）次。住院患者的平均住院时间为29.99±25.83天。年龄、职业和痰涂片检查与平均住院时间有关。住院患者的平均总费用为13007.91±5205.58元。痰涂片检查结果、医保类型、职业和年龄是与结核病住院费用相关的主要潜在因素。
结核病患者的住院率较高。尽管结核病医保政策有所进步，但结核病诊断和治疗仍有大量费用。结核病患者仍面临沉重的经济负担。医疗服务提供者应修订服务套餐并改革医保规定，以确保结核病患者得到适当治疗。
