混合痔患者住院服务利用的影响因素分析

doi:10.20047/j.issn1673-7210.2022.34.37

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Abstract Objective To study the inpatient service utilization of mixed hemorrhoids and explore the influencing factors of mixed hemorrhoids inpatient service utilization. Methods The research data was based on the medical insurance database of inpatients in secondary and above public hospitals (31 tertiary hospitals and 26 secondary hospitals) in A city from January 2017 to December 2020. A total of 4 417 patients who were mainly diagnosed as mixed hemorrhoids and underwent surgical treatment were involved. The basic information of inpatients (age, comorbid diseases, and type of surgery, etc.) and the inpatient services utilization (average hospitalization expenses per case and average hospitalization days per time) were recorded, and quantile regression method was used to analyze the influencing factors of utilization of inpatient services. Results The average hospitalization expenses per case of patients with different age, hospital level, hospital category, medical insurance type, number of comorbidities, type of surgery, year, and average hospitalization days per time were compared, and the differences were statistically significant (P＜0.05). The average hospitalization days per time of patients with different age, hospital level, hospital category, medical insurance type, number of comorbidities, type of surgery were compared, and the differences were statistically significant (P＜0.05). Hospital level, hospital category, medical insurance type, number of comorbidity, type of surgery, year (2018), and average hospitalization expenses per case were the influencing factors of average hospitalization cost (P＜0.05). Hospital category, medical insurance type, number of comorbidities, operation type (extirpation and endoligation, procedure for prolapse and hemorrhoids, and other operations), and year were the influencing factors of average hospitalization days per time (P＜0.05). Conclusion Patients with mixed hemorrhoids have a high degree of inpatient services utilization. It is recommended to promote the clinical pathway management of inpatient treatment, optimize the diagnosis and treatment process, and further reduce the hospitalization burden of patients.

Key words： Mixed hemorrhoids Inpatient service utilization Influencing factors Clinical pathway

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	CHEN Xiaoping1 SHI Xuefeng1 LI Jia2 WEI Suli3▲

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CHEN Xiaoping1 SHI Xuefeng1 LI Jia2 WEI Suli3▲. Analysis of influencing factors of inpatient service utilization in patients with mixed hemorrhoids[J]. 中国医药导报, 2022, 19(34): 161-165.

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https://www.yiyaodaobao.com.cn/EN/10.20047/j.issn1673-7210.2022.34.37 OR https://www.yiyaodaobao.com.cn/EN/Y2022/V19/I34/161

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