Determinants of Hospital Inpatient Costs in the Iranian Elderly: A Micro-costing Analysis

Hazrati Ebrahim; Meshkani zahra; Barghzan Saeed Husseini; Balaye Jame Sanaz Zargar; Markazi-Moghaddam Nader

추천

검색

자료유형: 학술저널

저자정보: Hazrati Ebrahim Meshkani zahra Barghzan Saeed Husseini Balaye Jame Sanaz Zargar Markazi-Moghaddam Nader

저널정보: 대한예방의학회 예방의학회지 예방의학회지 제53권 제3호

발행연도: 2020.1

수록면: 205 - 210 (6page)

이용수

📌

연구주제

📖

연구배경

🔬

연구방법

🏆

연구결과

초록· 키워드

오류제보하기

Objectives: Aging is assumed to be accompanied by greater health care expenditures. The objective of this retrospective, bottom-up micro-costing study was to identify and analyze the variables related to increased health care costs for the elderly from the provider’s perspective. Methods: The analysis included all elderly inpatients who were admitted in 2017 to a hospital in Tehran, Iran. In total, 1288 patients were included. The Mann-Whitney and Kruskal-Wallis tests were used. Results: Slightly more than half (51.1%) of patients were males, and 81.9% had a partial recovery. The 60-64 age group had the highest costs. Cancer and joint/orthopedic diseases accounted for the highest proportion of costs, while joint/orthopedic diseases had the highest total costs. The surgery ward had the highest overall cost among the hospital departments, while the intensive care unit had the highest mean cost. No statistically significant relationships were found between inpatient costs and sex or age group, while significant associations (p<0.05) were observed between inpatient costs and the type of ward, length of stay, type of disease, and final status. Regarding final status, costs for patients who died were 3.9 times higher than costs for patients who experienced a partial recovery. Conclusions: Sex and age group did not affect hospital costs. Instead, the most important factors associated with costs were type of disease (especially chronic diseases, such as joint and orthopedic conditions), length of stay, final status, and type of ward. Surgical services and medicine were the most important cost items.

참고문헌 (20)

참고문헌 신청

Lehnert T / 2011 / Review : health care utilization and costs of elderly persons with multiple chronic conditions / Med Care Res Rev 68(4):387~420

Ellen ME / 2017 / A knowledge translation framework on ageing and health / Health Policy 121(3):282~291

Ziloochi MH / 2010 / Evaluating the hospitalization costs for elderly patients in teaching hospitals of Kashan university of medical sciences during 2009-10 / J Kashan Univ Med Sci 16(1):86~94

Jacobzone S / 2000 / Coping with aging: international challenges. What are the implications of greater longevity and declining disability levels? / Health Aff 19(3):213~225

Tsuji M / 2001 / An estimation of economic effects of tele-home-care : hospital cost-savings of the elderly / Stud Health Technol Inform 84(Pt 1):858~862

함께 읽어보면 좋을 논문

논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!