文献类型：期刊文献

英文题名：Analysis of factors influencing hospitalization cost of patients with distal radius fractures: an empirical study based on public traditional Chinese medicine hospitals in two cities, China

作者：Chen, Mengen[1,2];Yang, Jingyu[3,4];Hou, Haojia[5];Zheng, Baozhu[6];Xia, Shiji[2];Wang, Yuhan[2];Yu, Jing[2];Wu, Guoping[2];Sun, Henong[2];Jia, Xuan[2];Ning, Hao[2];Chang, Hui[2];Zhang, Xiaoxi[1,2,7];Yuan, Youshu[1,2];Wang, Zhiwei[2,8]

第一作者：Chen, Mengen

通信作者：Wang, ZW[1];Wang, ZW[2]

机构：[1]Beijing Univ Chinese Med, Sch Tradit Chinese Med, Beijing 102400, Peoples R China;[2]Beijing Univ Chinese Med, Sch Management, Beijing 102400, Peoples R China;[3]Gansu Univ Chinese Med, Sch Hlth Management, Lanzhou 730000, Peoples R China;[4]Lanzhou Univ, Sch Publ Hlth, Lanzhou 730000, Peoples R China;[5]Gansu Univ Chinese Med, Sch Publ Hlth, Lanzhou 730000, Peoples R China;[6]Capital Med Univ, Sch Stomatol, Beijing 100050, Peoples R China;[7]China Acad Chinese Med Sci, Guanganmen Hosp, Beijing 100053, Peoples R China;[8]Natl Inst Chinese Med Dev & Strategy, Beijing 102400, Peoples R China

第一机构：Beijing Univ Chinese Med, Sch Tradit Chinese Med, Beijing 102400, Peoples R China

通信机构：[1]corresponding author), Beijing Univ Chinese Med, Sch Management, Beijing 102400, Peoples R China;[2]corresponding author), Natl Inst Chinese Med Dev & Strategy, Beijing 102400, Peoples R China.

年份：2024

卷号：24

期号：1

外文期刊名：BMC HEALTH SERVICES RESEARCH

收录：;Scopus(收录号：2-s2.0-85192585643);WOS:【SCI-EXPANDED(收录号:WOS:001216283800001)】；

基金：The authors would like to acknowledge the Gansu Provincial Health and Wellness Commission for data support for our study.

语种：英文

外文关键词：DRFs; TCMa hospitals; TCMb advantageous diseases; Hospitalization cost

摘要：Background Distal radius fractures (DRFs) have become a public health problem for all countries, bringing a heavier economic burden of disease globally, with China's disease economic burden being even more acute due to the trend of an aging population. This study aimed to explore the influencing factors of hospitalization cost of patients with DRFs in traditional Chinese medicine (TCMa) hospitals to provide a scientific basis for controlling hospitalization cost. Methods With 1306 cases of DRFs patients hospitalized in 15 public TCMa hospitals in two cities of Gansu Province in China from January 2017 to 2022 as the study object, the influencing factors of hospitalization cost were studied in depth gradually through univariate analysis, multiple linear regression, and path model. Results Hospitalization cost of patients with DRFs is mainly affected by the length of stay, surgery and operation, hospital levels, payment methods of medical insurance, use of TCMa preparations, complications and comorbidities, and clinical pathways. The length of stay is the most critical factor influencing the hospitalization cost, and the longer the length of stay, the higher the hospitalization cost. Conclusions TCMa hospitals should actively take advantage of TCMb diagnostic modalities and therapeutic methods to ensure the efficacy of treatment and effectively reduce the length of stay at the same time, to lower hospitalization cost. It is also necessary to further deepen the reform of the medical insurance payment methods and strengthen the construction of the hierarchical diagnosis and treatment system, to make the patients receive reasonable reimbursement for medical expenses, thus effectively alleviating the economic burden of the disease in the patients with DRFs.