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1995年美国中风和短暂性脑缺血发作平均费用的差异。

Variations in average charges for strokes and TIAs: United States, 1995.

作者信息

Mushinski M

出版信息

Stat Bull Metrop Insur Co. 1997 Oct-Dec;78(4):9-18.

PMID:9357076
Abstract

The 1995 in-hospital charges for 6,628 group health insured stroke victims averaged $11,010 across the country. This total was over twice the average charge for the 1,584 patients hospitalized with a transient ischemic attack (TIA), $4,940. The Mountain and the neighboring Pacific areas of the country reported the highest charges for a stroke, 24 and 16 percent, respectively, higher than the U.S. average. The charges in the East North Central and East South Central areas were the lowest, each under $9,000 and 20 and 25 percent below the norm, respectively. Between study states, the highest stroke charge was reported in Arizona ($17,590) and the lowest in Ohio ($6,670). Hospital charges comprised 81 percent of the total bill to insurance, averaging $8,940. Physicians' charges averaged $2,070, with those in New York 34 percent above the norm and those in Alabama 30 percent below ($1,450). The New Jersey hospital stays averaged 8.1 days, whereas the stay in Oregon was 5.2 days. The total TIA charge was just under $5,000 across the country. Illinois reported the highest TIA in-hospital charge, $6,160, 25 percent above the U.S. average and almost twice the total in Alabama ($3,170). The hospital charges comprised 87 percent of the total, averaging $4,290. Physicians' charges in Pennsylvania were the highest ($890, 37 percent above the U.S. norm of $650) and those in Alabama the lowest ($450, 31 percent below). The average length of stay was 3.7 days for a TIA, ranging from 5.4 days in New York to 2.3 days in Arizona.

摘要

1995年,全国6628名参加团体健康保险的中风患者的住院费用平均为11,010美元。这一总费用是1584名因短暂性脑缺血发作(TIA)住院患者平均费用4940美元的两倍多。该国山区和邻近的太平洋地区中风费用最高,分别比美国平均水平高24%和16%。东中北部和东南中部地区的费用最低,均低于9000美元,分别比正常水平低20%和25%。在各研究州中,中风费用最高的是亚利桑那州(17,590美元),最低的是俄亥俄州(6,670美元)。医院费用占保险总账单的81%,平均为8940美元。医生费用平均为2070美元,纽约的医生费用比正常水平高34%,阿拉巴马州的医生费用比正常水平低30%(1450美元)。新泽西州的住院时间平均为8.1天,而俄勒冈州为5.2天。全国TIA的总费用略低于5000美元。伊利诺伊州报告的TIA住院费用最高,为6160美元,比美国平均水平高25%,几乎是阿拉巴马州总费用(3170美元)的两倍。医院费用占总费用的87%,平均为

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