Study of the economic burden and influencing factors on stroke patients in Central China in the post-epidemic era

doi:10.5246/jcps.2022.07.048

Abstract

Abstract:

The economic burden of disease is the main burden of disease for patients, and experts and scholars have done various studies from different perspectives on various types of diseases. In the present study, we focused on the basic situation of hospitalization cost of stroke patients in Hunan Province and analyzed the factors affecting the hospitalization cost of stroke patients. A retrospective random sample of 7270-case home data of patients discharged from several hospitals in Hunan Province with diagnoses of ICD-10 codes I60 to I64 from 2019 to 2021 was used to analyze the patient’s hospitalization costs and the influencing factors. The univariate analysis was used to eliminate irrelevant factors, and multiple linear regression analysis was performed on the effective factors. Patients’ medical costs are increasing year by year, with drug costs accounting for a high proportion of patients’ hospitalization costs. The ranking of the total effect factors of hospitalization costs was as follows: the number of days of hospitalization, the level of the institution, the disease subtype, gender, the type of participation, and age. It was recommended to strengthen the scientific and rational use of drugs, improve medical technology and service level, do a good job in early screening and prevention of diseases, realize the hierarchical diagnosis and treatment system, play an active role in community hospitals, use medical resources rationally, develop scientific and rational treatment plans, shorten the number of days of hospitalization, control costs effectively, strengthen publicity and education, and form healthy and good living habits to shorten the number of days of hospitalization. The number of days of hospitalization should be shortened.

Key words: Stroke, Hospitalization costs, Influencing factors

Supporting:

Ciyan Peng, Jing Chen, Sini Li, Jianhe Li, Liubao Peng. Study of the economic burden and influencing factors on stroke patients in Central China in the post-epidemic era[J]. Journal of Chinese Pharmaceutical Sciences, 2022, 31(7): 545-555.

Figures/Tables 10

Table 1. Basic hospitalization of stroke patients.

Table 2. Hospitalization costs for different demographic sociological characteristics.

Table 3. Basic information of stroke patients at different institutional levels.

Table 4. Basic information on the per capita hospitalization cost of stroke patients in different medical institutions.

Table 5. Basic hospitalization information of stroke patients with different disease types.

Table 6. Basic information of stroke patients with different insured types.

Table 7. Univariate analysis results of hospitalization costs.

Table 8. Spearman grade correlation analysis of age and hospitalization cost.

Table 9. Assignment of influencing factors.

Table 10. Multiple linear regression analysis of each variable and hospitalization cost.

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