Xu Q L, Lin K M, Yin S Q, Qian M B, Wang D Q, Duan L, Lu S N, Li Y X, Xiao N
National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention (Chinese Center for Tropical Diseases Research), NHC Key Laboratory of Parasite and Vector Biology, WHO Collaborating Centre for Tropical Diseases, National Center for International Research on Tropical Diseases, Shanghai 200025, China.
Guangxi Zhuang Autonomous Region Center for Disease Control and Prevention, China.
Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi. 2021 Apr 15;33(2):154-161. doi: 10.16250/j.32.1374.2020312.
To analyze the hospitalization cost and its influencing factors of imported malaria patients in Guangxi Zhuang Autonomous Region and Yunnan Province, so as to provide insights into the evaluation of the economic burden due to imported malaria, and the guiding of malaria control and the rational allocation of medical resources.
The data pertaining to the hospitalization costs of imported malaria patients admitted to Shanglin County People's Hospital in Guangxi Zhuang Autonomous Region during the period from January 1 through December 31, 2019, and Tengchong Municipal People's Hospital in Yunnan Province from January 1, 2015 to December 31, 2019, were collected, and the epidemiological data of these imported malaria patients were extracted from the Information Management System for Parasitic Diseases Control and Prevention, China. The composition of the hospitalization expenses was analyzed using a descriptive method. In addition, the factors affecting the hospitalization expenses of imported malaria patients were identified using a univariate analysis and a recursive system model.
A total of 206 imported malaria patients were included in this study, including 194 men (94.17%) and 12 women (5.83%). The mean length of hospital stay was 5.00 days per patient and the median hospitalization expenses were 2 813.07 Yuan per time, in which the expenses for laboratory examinations were the highest (45.31%, 1 274.62/2 813.07). Univariate analysis showed that hospital ( = 5.43, < 0.01), type of malaria ( = 34.86, < 0.01) and type of payment ( = 7.72, < 0.05) were factors affecting the hospitalization expenses of imported malaria patients. Recursion system modeling revealed that the total effects on hospitalization expenses of imported malaria patients included length of hospital stay (0.78), selection of hospital (0.34), basic medical insurance for urban and rural residents (0.19), new rural cooperative medical care (0.17), malaria (0.15), gender (0.11) and malaria (0.09).
The hospitalization expenses of imported malaria patients are affected by multiple factors in Guangxi Zhuang Autonomous Region and Yunnan Province, in which the length of hospital stay is the most predominant influencing factor. A reduction in the length of hospital stay is effective to decrease the hospitalization expenses of imported malaria patients.
分析广西壮族自治区和云南省输入性疟疾病例的住院费用及其影响因素，为评估输入性疟疾的经济负担、指导疟疾防控及合理配置医疗资源提供参考。
收集2019年1月1日至12月31日广西壮族自治区上林县人民医院以及2015年1月1日至2019年12月31日云南省腾冲市人民医院输入性疟疾病例的住院费用数据，并从中国寄生虫病防治信息管理系统中提取这些输入性疟疾病例的流行病学资料。采用描述性方法分析住院费用构成。此外，运用单因素分析和递归系统模型确定影响输入性疟疾病例住院费用的因素。
本研究共纳入206例输入性疟疾病例，其中男性194例（94.17%），女性12例（5.83%）。患者平均住院天数为5.00天，次均住院费用中位数为2813.07元，其中实验室检查费用最高（45.31%，1274.62/2813.07）。单因素分析显示，医院（χ² = 5.43，P < 0.01）、疟疾类型（χ² = 34.86，P < 0.01）和支付方式（χ² = 7.72，P < 0.05）是影响输入性疟疾病例住院费用的因素。递归系统模型显示，对输入性疟疾病例住院费用的总效应包括住院天数（0.78）、医院选择（0.34）、城乡居民基本医疗保险（0.19）、新型农村合作医疗（0.17）、间日疟（0.15）、性别（0.11）和恶性疟（0.09）。
广西壮族自治区和云南省输入性疟疾病例的住院费用受多种因素影响，其中住院天数是最主要的影响因素。缩短住院天数可有效降低输入性疟疾病例的住院费用。
