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目的分析甘肃省某职工医院循环系统疾病老年患者的疾病负担及影响因素。方法收集2001~2010年甘肃省某职工医院共6 123例循环系统疾病老年患者的住院费用,分析疾病负担及住院费用的影响因素。结果 2001~2010年循环系统疾病老年住院患者人均住院费用2 490.64元,日均住院费用204.45元,住院费用与年份无相关性。直接影响住院费用的因素依次为住院天数、是否手术、转归情况、性别、年龄和付费方式。结论 10年循环系统疾病老年患者住院费用无明显增长,提示良好的管理机制可以有效控制住院费用的无序上涨。住院天数是影响住院费用最主要的因素。
Objective To analyze the disease burden and influencing factors of elderly patients with circulatory diseases in a worker hospital in Gansu Province. Methods The hospitalization costs of 6 123 elderly patients with circulatory diseases in a workers’ hospital in Gansu province from 2001 to 2010 were collected to analyze the influence factors of disease burden and hospitalization costs. Results From 2001 to 2010, the annual hospitalization cost of the elderly inpatients with circulatory diseases was 2 490.64 yuan and the average daily hospitalization cost was 204.45 yuan. There was no correlation between hospitalization costs and years. The factors that directly affect the hospitalization costs are hospitalization days, surgery, outcome, sex, age and payment method. Conclusions There was no significant increase in hospitalization expenses for elderly patients with 10-year circulatory system diseases, suggesting that good management mechanism can effectively control the disorderly rise of hospitalization expenses. Hospitalization days is the most important factor affecting the cost of hospitalization.