胡强, 罗美玲. 乙型病毒性肝炎患者住院天数及其影响因素分析[J]. 疾病监测, 2017, 32(8): 674-677. DOI: 10.3784/j.issn.1003-9961.2017.08.015
引用本文: 胡强, 罗美玲. 乙型病毒性肝炎患者住院天数及其影响因素分析[J]. 疾病监测, 2017, 32(8): 674-677. DOI: 10.3784/j.issn.1003-9961.2017.08.015
HU Qiang, LUO Mei-ling. Analysis on factors influencing hospitalization length of hepatitis B patients[J]. Disease Surveillance, 2017, 32(8): 674-677. DOI: 10.3784/j.issn.1003-9961.2017.08.015
Citation: HU Qiang, LUO Mei-ling. Analysis on factors influencing hospitalization length of hepatitis B patients[J]. Disease Surveillance, 2017, 32(8): 674-677. DOI: 10.3784/j.issn.1003-9961.2017.08.015

乙型病毒性肝炎患者住院天数及其影响因素分析

Analysis on factors influencing hospitalization length of hepatitis B patients

  • 摘要: 目的 分析乙型病毒性肝炎(乙肝)患者住院天数及其影响因素,寻找节约医疗资源的途径。方法 采用整群抽样的方法,在一定调查时间内,从调查医院中选取所有符合条件的各型乙肝住院患者作为研究对象,共742例病例。采用SPSS 13.0软件进行单因素方差分析,采用多元逐步回归方法进行多因素分析。结果 乙肝患者中城镇基本医疗保险、农村合作医疗、自费医疗的比例分别为50.67%、41.11%和8.22%。医疗保险类型、医院类型、抗病毒治疗和疾病类型是影响乙肝患者住院天数的主要因素。医疗保险类型中城镇基本医疗保险的患者住院天数最长,农村合作医疗和自费医疗的患者住院天数差异无统计学意义。结论 加强影响乙肝患者住院天数可控因素的控制,特别是医疗保险类型,从而有利于减轻乙肝患者的经济负担,节约医疗资源。

     

    Abstract: Objective To analyze the factors influencing hospitalization length of hepatitis B patients, and find a feasible way to save medical resources. Methods A total of 742 patients of hepatitis B were consecutively selected from hospitals through cluster sampling. Data analysis was done by single factor analysis of variance and multivariate linear regression analysis with software SPSS 13.0. Results Among the 742 patients, 50.67% had urban basic medical insurance, 41.11% had rural cooperative medical service and 8.22% paid for themselves. The main influencing factors were health insurance, hospital type, antiviral therapy and disease type. Patients who had urban basic medical insurance had the longest hospitalization length, the difference in hospitalization length between patients with rural cooperative medical service and patients who paid for themselves had no significance. Conclusion It is important to reduce the economic burden of hepatitis B patients and save medical resources through strengthening the control of the factors influencing hospitalization length of hepatitis B patients, especially the type of health insurance.

     

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