引用本文:李宁宁,于保荣,周立波,等.不同医疗保障制度慢性乙肝患者住院床日数及出院转归影响因素分析[J].中国卫生政策研究,2012,5(1):40-45 |
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不同医疗保障制度慢性乙肝患者住院床日数及出院转归影响因素分析 |
投稿时间:2011-09-19 修订日期:2011-12-27 PDF全文浏览 HTML全文浏览 |
李宁宁1, 于保荣1, 周立波2, 刘甲野3, 徐爱强3 |
1.山东大学卫生管理与政策研究中心;2.章丘市疾病预防控制中心;3.山东省疾病预防控制中心 |
摘要:目的:分析不同医疗保障制度下慢性乙肝患者的住院床日数及出院转归的影响因素。方法:在山东省济南市和潍坊市共选择3所县级医院和3所市级医院,每所医院抽取2009年全部出院诊断为“乙型肝炎”的病历;采取描述性统计及多元线性回归分析数据。结果:城镇职工医保的各型慢性乙肝患者的平均住院床日数约为城镇居民医保患者的1.6~2.3倍,为新农合患者的1.5~1.9倍。医疗保障类型、医院级别、出院转归及慢性乙肝的分型对住院床日数的影响具有统计学意义;住院床日数影响出院转归。结论和建议:不同医疗保障制度间的待遇差异,导致了患者住院床日数的差异;住院床日数又影响了患者的病情转归。建议缩小和消除不同医疗保障制度间的不平等,保障国民健康权益的公平性。 |
关键词:慢性乙型肝炎 住院床日数 出院转归 医疗保障 公平性 |
基金项目:科技部、卫生部重大专项“艾滋病和病毒性肝炎等重大传染病防治”(2009ZX10002 028)中的“山东省乙型病毒性肝炎防治综合示范区规模化现场流行病学和干预研究” |
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Analysis of length of stay and clinical prognosis and influencing factors for inpatients with Hepatitis B under different health insurance schemes |
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Abstract:Objectives:To compare the length of stay (LOS) for inpatients in county hospital and municipal hospital with chronic Hepatitis B under different health insurance schemes, combining the prognosis to analyze factors that influencing LOS and clinical prognosis. Methods: 3 county hospitals and 3 municipal hospitals were selected in Jinan and Weifang prefectures in Shandong, medical records of discharged inpatients diagnosed as “Hepatitis B” during 2009 were reviewed and necessary information were derived. The descriptive analysis and multivariate linear regression analysis are used. Results: The average length of stay for inpatients of urban employee scheme is 1.6~2.3 times of the urban inhabitant scheme, and 1.5~1.9 times of that of new cooperative medical scheme. Insurance scheme, level of hospital, prognosis of patients and type of chronic hepatitis B are influencing hospital expenditure, and LOS influences inpatients’ prognosis. Conclusions and recommendations: Diversity in benefit package between different health insurance schemes had caused difference in LOS, while LOS influenced patients’ clinical prognosis. Efforts should be made to narrow and eliminate inequality between systems in order to ensure health equality for all. |
Key words:Hepatitis B Length of stay Clinical prognosis Health insurance Equity |
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