通讯作者: 伍丽群, 57128241@qq.com

DOI：10.12201/bmr.202305.00003

Analysis on the influencing factors of the medical expense burden of the dead inpatients in Shenzhen based on the first page data of medical records

• 摘要：目的：考察住院死亡患者医疗费用负担的影响因素。方法：使用2017-2021年深圳市西医医院住院死亡患者的病案首页数据，构建分位数回归模型，估计不同医疗费用水平下，年龄、性别、医疗付款方式等变量对医疗费用的影响。结果：在0.5分位数水平下，男性、年龄越低、三级医院就诊、疾病数量和住院天数越多的住院死亡患者医疗费用负担越大；随着分位数水平的提高，医疗保险支付对住院死亡患者医疗费用负担的影响由负向转变为正向。结论：医疗保险参与可能促进了无效医疗与过度医疗行为的发生；罹患疾病数量的增加促进了住院死亡患者医疗费用负担。应当发展和完善临终关怀服务，促进死亡观念的转变，同时关注罹患多种疾病对住院死亡风险的影响。

  关键词： 住院死亡患者；医疗费用；病案首页; ; 

   

  Abstract: Objective: To investigate the influencing factors of the medical expense burden of the dead inpatients. Methods: The quantile regression model was constructed using the first page data of the medical records of the dead inpatients in Shenzhen Western Medical Hospital from 2017 to 2021 to estimate the impact of age, gender, medical payment methods and other variables on medical expenses under different medical expense levels. Results: At the 0.5 quantile level, the medical expense burden of the dead inpatients who were male, the younger the age, the more tertiary hospitals visited, the number of diseases and the number of days in hospital were greater; With the improvement of the quantile level, the impact of medical insurance payment on the medical expense burden of hospitalized patients has changed from negative to positive. Conclusion: The burden of medical expenses on female and elderly hospitalized dead patients is lower; Medical insurance participation may promote the occurrence of ineffective medical treatment and excessive medical treatment; The increase in the number of diseases has promoted the burden of medical expenses on hospitalized dead patients. We should develop and improve hospice care services, promote the transformation of death concepts, and pay attention to the impact of multiple diseases on the risk of hospital death.

  Key words: Deaths in hospital; Medical expenses; First page of medical record

  提交时间：2023-05-09

  版权声明：作者本人独立拥有该论文的版权，预印本系统仅拥有论文的永久保存权利。任何人未经允许不得重复使用。
• html

• 图表

• 王毅. 构建住院病案无纸化体系的研究. 2020. doi: 10.12201/bmr.202004.00031

  王海平, 宁满秀. 城乡医保整合政策对农村中老年人医疗负担的影响. 2022. doi: 10.12201/bmr.202207.00035

  王爽, 胡琪, 陈晓璇, 黄琼, 郑静, 胡建平, 董方杰. 基于深圳市全民健康信息平台的数据采集系统的设计. 2023. doi: 10.12201/bmr.202305.00021

  徐璐. 某大型三甲医院门急诊电子病历患者自助打印行为特征研究及思考. 2021. doi: 10.12201/bmr.202109.00008

  赵佳奇, 王晓锋, 樊羽羽, 张 伟, 王慧璇, 李金山. 电子病历数据质量及对策研究. 2020. doi: 10.12201/bmr.202011.00008

  张仲芳, 刘海兰, 刘星. 我国灾难性卫生支出标准的界定：基于医疗支出对家庭基本生活消费的影响. 2022. doi: 10.12201/bmr.202212.00006

  孙成浩, 刘芬, 赵峰. 基于区块链技术的电子病历系统研究. 2020. doi: 10.12201/bmr.202007.00012

  侯艳杰, 王瑜, 颜诗源, 张文静, 张琳, 姚俊. 长期护理保险对中老年人医疗服务利用、医疗负担及健康的影响——基于双重差分法的实证研究. 2021. doi: 10.12201/bmr.202107.00029

  胡嘉靖, 秋慧. 基于UTAUT模型的互联网医疗服务利用及其影响因素研究. 2023. doi: 10.12201/bmr.202303.00006

  小娟. 基本医保参保人门诊医疗服务利用、费用及风险分析. 2023. doi: 10.12201/bmr.202302.00013

• 序号	提交日期	编号	操作
  1	2022-12-13	bmr.202305.00003V1	下载

• 公开评论  匿名评论  仅发给作者 提交评论