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Article: An analysis on the cost of hypertensive outpatient in the community hospital in Shanghai

TitleAn analysis on the cost of hypertensive outpatient in the community hospital in Shanghai
Authors
KeywordsChen, Y.
The School Of Public Health, Peking University, Beijing 100083, China., © Medline® Is The Source For The Citation And Abstract Of This Record.
Issue Date2003
Citation
Zhonghua liu xing bing xue za zhi = Zhonghua liuxingbingxue zazhi, 2003, v. 24 n. 12, p. 1074-1077 How to Cite?
AbstractOBJECTIVE: To study the cost of the hypertensive outpatients. METHODS: The study randomly selected 460 insured patients with hypertension and investigated their cost on each case in the out-patient department through 2002, based on the electronic system of medical insurance. RESULTS: As a whole, the distribution of hypertensive outpatient expenditure takes on the positively skewed, with the median of 1 567.9 Yuan RMB. With the increase of age, the average expenses in each age group increased accordingly. In the study, the average number of outpatient attendances per patient was 19.5, the average expenses per visit was 115.4 Yuan RMB. In age groups 40 - 49 and 50 - 59, expenses of outpatient in male and female groups are obviously different in 2002 (Wilcoxon W(40 - 49) = 36, P(40 - 49) = 0.037; Wilcoxon W(50 - 59) = 374, P(50 - 59) = 0.023), as well as the number of out-patients (Wilcoxon W(40 - 49) = 52.5, P(40 - 49) = 0.007; Wilcoxon W(50 - 59) = 379, P(50 - 59) = 0.028). When considering the factors of gender and age at one time, the outpatient expenditures in the male group were significantly different between the different age groups (chi(2) = 22.3, P < 0.001), as well as the number of outpatients (chi(2) = 25.4, P < 0.001). In addition, the expenditure of drugs, which took a large proportion of the total expenditure of hypertensive outpatients (about 83.6 percent), was divided into three parts according to the degree of correlation with hypertension: direct expenses related to the with disease, the indirect expenses and the irrespective. The proportions of each part were 19.9 percent, 32.3 percent and 47.8 percent respectively. CONCLUSION: When economic evaluation of community prevention is carried out, the cost and cost-benefit analysis based on the analysis of outpatient expenditure and the proportion of expenses on hypertension should be taken into account. Additionally, to provide appropriate mode of medicare, to impact the behaviors and expenditure of patients, and to provide low-cost but good effective drug are also essential and important factors.
Persistent Identifierhttp://hdl.handle.net/10722/92328
ISSN
2015 SCImago Journal Rankings: 0.191

 

DC FieldValueLanguage
dc.contributor.authorChen, Yen_HK
dc.contributor.authorWang, Men_HK
dc.contributor.authorZhan, SYen_HK
dc.contributor.authorLiu, KJen_HK
dc.contributor.authorSun, Qen_HK
dc.contributor.authorChen, WHen_HK
dc.contributor.authorDai, LQen_HK
dc.contributor.authorRen, Ten_HK
dc.contributor.authorWu, Ten_HK
dc.contributor.authorLi, Jen_HK
dc.contributor.authorQin, Yen_HK
dc.contributor.authorCao, WHen_HK
dc.contributor.authorHu, YHen_HK
dc.date.accessioned2010-09-17T10:42:48Z-
dc.date.available2010-09-17T10:42:48Z-
dc.date.issued2003en_HK
dc.identifier.citationZhonghua liu xing bing xue za zhi = Zhonghua liuxingbingxue zazhi, 2003, v. 24 n. 12, p. 1074-1077en_HK
dc.identifier.issn0254-6450en_HK
dc.identifier.urihttp://hdl.handle.net/10722/92328-
dc.description.abstractOBJECTIVE: To study the cost of the hypertensive outpatients. METHODS: The study randomly selected 460 insured patients with hypertension and investigated their cost on each case in the out-patient department through 2002, based on the electronic system of medical insurance. RESULTS: As a whole, the distribution of hypertensive outpatient expenditure takes on the positively skewed, with the median of 1 567.9 Yuan RMB. With the increase of age, the average expenses in each age group increased accordingly. In the study, the average number of outpatient attendances per patient was 19.5, the average expenses per visit was 115.4 Yuan RMB. In age groups 40 - 49 and 50 - 59, expenses of outpatient in male and female groups are obviously different in 2002 (Wilcoxon W(40 - 49) = 36, P(40 - 49) = 0.037; Wilcoxon W(50 - 59) = 374, P(50 - 59) = 0.023), as well as the number of out-patients (Wilcoxon W(40 - 49) = 52.5, P(40 - 49) = 0.007; Wilcoxon W(50 - 59) = 379, P(50 - 59) = 0.028). When considering the factors of gender and age at one time, the outpatient expenditures in the male group were significantly different between the different age groups (chi(2) = 22.3, P < 0.001), as well as the number of outpatients (chi(2) = 25.4, P < 0.001). In addition, the expenditure of drugs, which took a large proportion of the total expenditure of hypertensive outpatients (about 83.6 percent), was divided into three parts according to the degree of correlation with hypertension: direct expenses related to the with disease, the indirect expenses and the irrespective. The proportions of each part were 19.9 percent, 32.3 percent and 47.8 percent respectively. CONCLUSION: When economic evaluation of community prevention is carried out, the cost and cost-benefit analysis based on the analysis of outpatient expenditure and the proportion of expenses on hypertension should be taken into account. Additionally, to provide appropriate mode of medicare, to impact the behaviors and expenditure of patients, and to provide low-cost but good effective drug are also essential and important factors.en_HK
dc.languageengen_HK
dc.relation.ispartofZhonghua liu xing bing xue za zhi = Zhonghua liuxingbingxue zazhien_HK
dc.subjectChen, Y.en_HK
dc.subjectThe School Of Public Health, Peking University, Beijing 100083, China., © Medline® Is The Source For The Citation And Abstract Of This Record.en_HK
dc.titleAn analysis on the cost of hypertensive outpatient in the community hospital in Shanghaien_HK
dc.typeArticleen_HK
dc.identifier.emailChen, Y:ychenc@hkucc.hku.hken_HK
dc.identifier.authorityChen, Y=rp1318en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.pmid14761617-
dc.identifier.scopuseid_2-s2.0-3042783222en_HK
dc.identifier.volume24en_HK
dc.identifier.issue12en_HK
dc.identifier.spage1074en_HK
dc.identifier.epage1077en_HK

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