Analysis of hospitalization expenditures and influencing factors for inpatients with chronic bronchitis based on SHA2011 in Anhui,China

Abstract

This study compares the hospitalization expenses of patients with chronic bronchitis in A province to estimate the economic burden of the family. Our data included hospitalization records of 30,341 patients with chronic bronchitis from five urban general hospitals in A province. Descriptive statistics and regression analysis were used to explore the relevant factors affecting hospitalization expenses.This study shows that from 2016 to 2019, the medical expenditure of patients with chronic bronchitis increased year by year, with an average annual growth rate of 22%. Among all kinds of expenses, the hospitalization expenses, drug expenses, bed expenses, laboratory expenses and other expenses paid by urban employee medical insurance and public insurance are higher than other types of medical insurance. The treatment fees and nursing fees paid by public insurance are also higher than other medical insurance, and the inspection fees of commercial insurance are lower than other types of insurance. At the same time, the length of hospitalization of public insurance is also longer than that of other types of medical insurance. Between 2016 and 2019, the average medical expenses per patient with chronic bronchitis increased by 0.44 times, with the highest average medical expenses among patients aged 60–70. When the number of service days is between 5–10 days, the average medical expenditure is the highest. Extending the service level will lead to an increase in patients ' medical expenses.Patients with chronic bronchitis and their families and society are experiencing heavy economic pressures. The results of our study showed that there was a significant increase in medical expenses for patients with chronic bronchitis from 2015 to 2020.