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目的分析甲状腺疾病住院患者和住院费用的构成及影响因素,为探讨降低甲状腺疾病医疗费用提供依据。方法筛选某院2010年住院治疗的甲状腺疾病共458例,对目标人群及其住院费用进行研究,对疾病及住院患者的基本情况用构成比描述,对住院费用情况进行描述性分析,统计学方法采用t检验或方差分析。结果甲状腺炎住院患者居多,占36.5%,甲状腺肿次之,占22.9%。女性患者高于男性,占全部病例的82.5%,并多集中在中年患者。参加医疗保险(医保)的患者多于自费患者,占71.6%。住院费用构成比顺位为:西药费、材料费、手术费、检验费,中位住院费用分别为2455.4元、1434.3元、900.0元、651.0元。女性与年龄偏高的患者平均住院费用较高。医保患者费用高于非医保患者。结论甲状腺疾病重点防治人群为中年女性,不同的甲状腺病种、年龄、性别,不同医疗保障、住院时间均会使甲状腺疾病住院费用产生很大变化。
Objective To analyze the composition and influencing factors of inpatients and hospitalization expenses of thyroid diseases and provide evidences for reducing the medical expenses of thyroid diseases. Methods A total of 458 cases of thyroid diseases hospitalized in a hospital in 2010 were screened. The target groups and their hospitalization expenses were studied. The basic conditions of the cases of illness and inpatients were described by composition ratio, the descriptive analysis of hospitalization expenses, and statistical methods T test or analysis of variance was used. Results The majority of hospitalized patients with thyroiditis, accounting for 36.5%, followed by goiter, accounting for 22.9%. Female patients than men, accounting for 82.5% of all cases, and more concentrated in middle-aged patients. The number of patients who participated in medical insurance (Medicare) was more than that of patients who voluntarily paid their own expenses, accounting for 71.6%. Hospitalization costs constitute the overall sequence as follows: western medicine fees, materials fees, operation fees, test fees, and median hospital charges were 2,455.4 yuan, 1,434.3 yuan, 900.0 yuan, and 651.0 yuan respectively. Women and older patients with higher average cost of hospitalization. Medicare patients cost more than non-Medicare patients. Conclusions The key prevention and treatment of thyroid diseases are middle-aged women. Different thyroid diseases, age, sex, different medical insurance and length of hospital stay can cause great changes in hospitalization costs of thyroid diseases.