Tripathi Ruchi R, Reddy Mahendra M, Bhattacharyya Ananta
Sri Devaraj Urs Medical College, Sri Devaraj Urs Academy of Higher Education and Research, Tamaka, Kolar, Karnataka, India.
Department of Community Medicine, Sri Devaraj Urs Medical College, Sri Devaraj Urs Academy of Higher Education and Research, Tamaka, Kolar, Karnataka, India.
J Family Med Prim Care. 2021 Aug;10(8):3071-3075. doi: 10.4103/jfmpc.jfmpc_418_21. Epub 2021 Aug 27.
In a developing country like India, a proportionately higher number of elderly people live in the rural areas and many of them are financially challenged. Hospitalization and consequent cost thereto pose a heavy burden especially for the elderly.
Among elderly in.patients at a tertiary care rural hospital to estimate the average number of episodes of hospitalizations, duration of stay in the hospital, and the direct and indirect costs associated with hospitalizations with 1 year as a reference period.
A structured pre.tested questionnaire was used to capture the details regarding hospitalizations and the costs involved and also the hospital records were verified for the current hospital admission to finally arrive at the direct and indirect costs calculations. Quantitative details like age, episodes of hospitalization in the last 1 year, duration of hospitalization, hospitalization costs, etc., were summarized as median (inter.quartile range [IQR]). Costing analyses were noted separately as direct, indirect, and total costs and expressed in Indian National Rupees (INR).
The total number of episodes of hospitalization among the 150 study participants was 204 with a mean of 1.36 episodes per person in 1-year duration. The average total cost per episode of hospitalization was found to be INR 11,249 while the average total cost per person per day was INR 1,670.30. The median (IQR) direct and indirect costs were INR 6,222 (3,060-12,670) and INR 690 (200-700), respectively.
Duration, as well as cost of hospitalization, has been found to be more among females in most age groups among elderly in.patients.
在印度这样的发展中国家，农村地区居住着相对较多的老年人，其中许多人面临经济困难。住院治疗及其带来的费用对老年人来说负担沉重。
以一家农村三级医疗医院的老年住院患者为研究对象，以1年为参考期，估算住院次数的平均数量、住院时长以及与住院相关的直接和间接费用。
采用一份经过预测试的结构化问卷来收集有关住院治疗及相关费用的详细信息，同时核实当前住院患者的医院记录，最终得出直接和间接费用的计算结果。年龄、过去1年的住院次数、住院时长、住院费用等定量细节以中位数（四分位间距[IQR]）进行汇总。成本分析分别记录为直接成本、间接成本和总成本，并以印度卢比（INR）表示。
150名研究参与者的住院总次数为204次，1年期间人均住院次数平均为1.36次。每次住院治疗的平均总成本为11,249印度卢比，而每人每天的平均总成本为1,670.30印度卢比。直接成本和间接成本的中位数（IQR）分别为6,222印度卢比（3,060 - 12,670）和690印度卢比（200 - 700）。
在大多数年龄组的老年住院患者中，女性的住院时长和费用更高。
