什么影响了日本患者的医疗支出?年龄、死亡、住院时长和医疗护理的变量

What has influenced patient health‐care expenditures in Japan?: variables of age, death, length of stay, and medical care

Health Economics · 2008
被引 22
人大 A-

中文导读

研究了日本住院患者每日人均医疗支出的影响因素,发现年龄和住院时长影响不大,但临终前一个月的检查费用显著增加支出。

Abstract

This study considers variables related to health-care expenditures associated with aging and long-term hospitalization in Japan. We focused on daily per capita inpatient health-care expenditures, and examined the impact of inpatient characteristics such as sex, age, survived or deceased, length of stay, adult disease, and type of medical care received during the duration of each stay. We analyzed data from the Survey of Medical-Care Activities in Public Health Insurance by multinomial logistic regression analyses. Age of patient had little impact on per capita inpatient health-care expenditures per day. As regards length of stay, inpatient stays of 8-14 days had a little impact on health-care expenditures. This study suggested that these results might be due to the kind of medical care received. More research is needed to determine the appropriate medical services to reduce long-term hospitalization. In the last month of care for patients who died, medical examinations had a great influence on health-care expenditures. This study showed that increasing medical examinations in the end-of-life care needs further investigation.

日本医疗支出住院时长临终医疗医疗检查