Analysis on the Hospitalization Expenses and Influencing Factors for Diabetic Patients

doi:10.7664/CHE20180419

Abstract：Objective:To analyze the major factors influencing hospitalization expenses for diabetes patients,aiming at providing a basis to adjust the current high medical expenses and reduce patients' economic burden.Methods:Medical and billing records of 3 306 diabetes patients who received treatments in tertiary hospitals in 2013-2016 were obtained based on descriptive stastics and path analysis.Data on hospitalization expenses were subjected to pathway analysis.Results:For the 3 306 patients analyzed,the average total medical expenses was 8 665.97 yuan with a median of 7 715.68 yuan.The average hospital stay was 14.11 days with a median of 14.00 days.The total cost of hospitalization and the average daily expenses increased by yeas,and the medical expenses were still in the leading position.Hospital stay was the most important influencing factor of hospitalization expenses.Other factors included Age,marital status,payment methods,drug proportion,admission condition,type of disease,surgery,complications and discharge time.Conclusion:Length of hospital stay was the most important determinant of hospitalization expenses.Shortening hospital stay and strengthening the control of controllable factors could be considered as a potential comprehensive measure to lower the high hospitalization expenses.