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帕金森病患者住院费用影响因素分析:一项基于848例病例的回顾性研究

Analysis of factors affecting hospitalization costs in Parkinson disease patients: A retrospective study based on 848 cases.

作者信息

Li Yatan, Ma Xiaoqiang, Zhang Shanquan, Jia Yingying, Yang Fan, Jia Wei

机构信息

Department of Pharmacy, The Second Affiliated Hospital, Xinjiang Medical University, Urumqi, China.

School of Public Health, Xinjiang Medical University, Urumqi, China.

出版信息

Medicine (Baltimore). 2025 Feb 14;104(7):e41540. doi: 10.1097/MD.0000000000041540.

Abstract

This retrospective study aimed to examine hospitalization costs and associated factors for Parkinson disease (PD) patients. A total of 848 PD patients were extracted from the National Neurological and Brain Center in Xinjiang, and basic demographic information, medical insurance payment, and hospital expenses were collected. SPSS 26.0 was used and univariate analysis was performed on the number of days of hospitalization, times of hospitalizations, gender, payment method, and total hospitalization costs. Correlation analysis was performed using multiple linear regression to explore the influencing factors of hospitalization expenses. The average hospitalization cost of PD patients was 15,515.78 ± 29,667.49 yuan. Diagnosis fees accounted for the highest proportion (29.50%), followed by material costs (25.50%) and drug costs (21.20%). PD patients with less than 5 hospitalizations were the main source of disease, but 2.83% of them had more than 10 hospitalizations (P = .025). Female patients were significantly more than male patients, but the total hospitalization costs of male patients were much higher than those of female patients (P < .001). The number of PD patients increased significantly when they were over 60 years old, but the hospitalization costs were much lower than those of patients under 60 years old (P = .007). The effect of the payment method on total hospitalization cost did not show a statistical difference (P = .213). There was a positive correlation between hospitalization days and total hospitalization cost (P < .001). In conclusion, the results of the regression model suggested that age, length of hospital stay, gender, and number of hospitalizations could be used as predictive variables for hospitalization costs in PD patients.

摘要

这项回顾性研究旨在调查帕金森病(PD)患者的住院费用及相关因素。从新疆维吾尔自治区神经精神病医院提取了848例PD患者,并收集了基本人口统计学信息、医疗保险支付情况和住院费用。使用SPSS 26.0对住院天数、住院次数、性别、支付方式和总住院费用进行单因素分析。采用多重线性回归进行相关性分析,以探讨住院费用的影响因素。PD患者的平均住院费用为15,515.78±29,667.49元。诊断费用占比最高(29.50%),其次是材料费用(25.50%)和药品费用(21.20%)。住院次数少于5次的PD患者是疾病的主要来源,但其中2.83%的患者住院次数超过10次(P = 0.025)。女性患者明显多于男性患者,但男性患者的总住院费用远高于女性患者(P < 0.001)。PD患者60岁以上时人数显著增加,但住院费用远低于60岁以下患者(P = 0.007)。支付方式对总住院费用的影响未显示出统计学差异(P = 0.213)。住院天数与总住院费用呈正相关(P < 0.001)。总之,回归模型结果表明,年龄、住院时间、性别和住院次数可作为PD患者住院费用的预测变量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d989/11835081/1841360ca078/medi-104-e41540-g001.jpg

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