Abstract：Objective To estimate the direct medical costs of inpatients with congenital heart disease (CHD) and reveal the time trend. Methods The CHD inpatients were investigated about medical expenses in the First Affiliated Hospital of Lanzhou University 2011-2015. Structural change degree was used to analyze the change in the structure of each expense. Results The average annual hospitalization cost was positively correlated with year (P<0.05) in simple CHD, composite defect and complex CHD. The average annual hospitalization cost of patients with complex CHD was (49 379.5±11 224.5)Yuan/Year which was higher than that of simple CHD ] (34 528.8±6 576.8)Yuan/Year](P<0.05); Treatment costs share the largest proportion in the total medical costs despite the type of CHD, which was 28.1%, 32.1% and 32.3% in simple CHD, composite defect and complex CHD respectively. With the respect of structural changes in various hospitalization expenses, the contribution rate of drug costs was the largest, which was 49.6%, 49.3% and 38.1% in simple CHD, composite defect and complex CHD respectively, and showed a positive trend during 2011-2015.The contribution rate of blood costs varied most which was 16.4% and 20.6% with of composite defect and complex CHD respectively, and showed a negative trend during 2011-2015. Conclusion The direct disease burden of patients with complex CHD is heavy and showed increasing trend recently. Drug costs, treatment costs and material costs was the major factors influencing hospital costs. To relieve the disease burden of patients with CHD, multiple resources would be considered to increasing funding and to expand the scope of medical assistance for CHD.
张瑞萍, 宋兵, 高霞, 祁亮, 薛红丽, 余柳霖, 李芝兰. 2011-2015年甘肃省先心病住院患者医疗费用分析[J]. 中国生育健康杂志, 2018, 29(3): 219-223.
ZHANG Ruiping, SONG Bing, GAO Xia, QI Liang, XUE Hongli, YU Liulin, LI Zhilan. Analysis of Medical Costs of Inpatients with CHD in Gansu Province 2011-2015. Chinese Journal of Reproductive Health, 2018, 29(3): 219-223.
