Wang Qun, Zhang Shuo, Wang Yaling, Zhang Xichun, Zhang Ying
Dalian University of Technology, China.
Affiliated Fuyang Hospital of Anhui Medical University, China.
Inquiry. 2019 Jan-Dec;56:46958019886958. doi: 10.1177/0046958019886958.
In large proportions of rural areas in many developing countries, health care delivery system is less developed and is less likely to be equipped to conduct sophisticated treatment for coronary heart disease (CHD) patients locally. This study aims at describing the status quo of and exploring factors associated with hospitalization costs of CHD in township hospitals where only drug therapy was available for CHD conditions. We collected data of inpatients with CHD from discharge records from 10 township hospitals in rural Liaoning from December 2013 to December 2014. We used multilevel linear regression to analyze the factors associated with CHD hospitalization costs. A total of 4635 inpatients were included in the analysis. We found that the average hospitalization costs were 6249.97 RMB (US$1012.47) with the average of 8.89 days of hospitalization in township hospitals in Liaoning. Age, gender, length of stay, the number of times of admissions, by which route was hospitalized, and type of CHD were all the factors significantly associated with hospitalization costs of CHD in township hospitals. The factors associated with hospitalization costs of CHD in township hospitals in rural China showed some different features from the existing studies. When the government designs the related policy, the policy makers need to consider the specific feature of hospitalization costs of CHD in township hospitals in rural areas.
在许多发展中国家的大部分农村地区，医疗保健服务体系欠发达，不太可能具备在当地为冠心病患者进行复杂治疗的条件。本研究旨在描述仅提供药物治疗冠心病的乡镇医院中冠心病住院费用的现状，并探索与之相关的因素。我们收集了2013年12月至2014年12月辽宁省10家乡镇医院出院记录中的冠心病住院患者数据。我们使用多层线性回归分析与冠心病住院费用相关的因素。共有4635名住院患者纳入分析。我们发现辽宁省乡镇医院的平均住院费用为6249.97元人民币（1012.47美元），平均住院天数为8.89天。年龄、性别、住院时间、入院次数、入院途径以及冠心病类型均为乡镇医院冠心病住院费用的显著相关因素。中国农村乡镇医院冠心病住院费用的相关因素与现有研究呈现出一些不同特征。政府在制定相关政策时，政策制定者需要考虑农村地区乡镇医院冠心病住院费用的具体特征。
