PDF(Pubmed)
Abstract：
UNASSIGNED: In the year 2021, human brucellosis ranked fifth in terms of the number of cases among all statutorily notifiable infectious diseases in China, thus remaining a significant concern for public health. This study aims to provide insights into the financial burden of human brucellosis by examining hospital stays and associated costs for affected individuals.
UNASSIGNED: In this retrospective study, we gathered updated data from 467 inpatient cases primarily diagnosed with human brucellosis at eight major tertiary hospitals in Beijing, China, spanning from 2013 to 2023. To comprehensively explore the economic impact on individuals, we not only analyzed the duration of hospital stays and total costs but also examined various charge types, including drug, lab test, medical imaging, medical treatment, surgical procedures, medical supplies and consumables, inpatient bed care, nursing services, and other services costs. Statistical analysis was employed to compare differences among gender, age, ethnicity, type of health insurance, condition at admission, comorbidity index, the performance of surgery, and the site of infection.
UNASSIGNED: Both the length of stay and total cost exhibited significant variations among insurance, surgery, and infection site groups. Utilization categories demonstrated significant differences between patients who underwent surgery and those who did not, as well as across different infection sites. Furthermore, multiple linear regression analysis revealed that the condition at admission, Elixhauser comorbidity index, infection site, and surgery influenced both hospital stay and total cost. In addition, age and insurance type were associated with total costs.
UNASSIGNED: By delving into various utilization categories, we have addressed a significant gap in the literature. Our findings provide valuable insights for optimizing the allocation and management of health resources based on the influencing factors identified in this study.
UNASSIGNED: In this retrospective study, we gathered updated data from 467 inpatient cases primarily diagnosed with human brucellosis at eight major tertiary hospitals in Beijing, China, spanning from 2013 to 2023. To comprehensively explore the economic impact on individuals, we not only analyzed the duration of hospital stays and total costs but also examined various charge types, including drug, lab test, medical imaging, medical treatment, surgical procedures, medical supplies and consumables, inpatient bed care, nursing services, and other services costs. Statistical analysis was employed to compare differences among gender, age, ethnicity, type of health insurance, condition at admission, comorbidity index, the performance of surgery, and the site of infection.
UNASSIGNED: Both the length of stay and total cost exhibited significant variations among insurance, surgery, and infection site groups. Utilization categories demonstrated significant differences between patients who underwent surgery and those who did not, as well as across different infection sites. Furthermore, multiple linear regression analysis revealed that the condition at admission, Elixhauser comorbidity index, infection site, and surgery influenced both hospital stay and total cost. In addition, age and insurance type were associated with total costs.
UNASSIGNED: By delving into various utilization categories, we have addressed a significant gap in the literature. Our findings provide valuable insights for optimizing the allocation and management of health resources based on the influencing factors identified in this study.
摘要：
■在2021年，人类布鲁氏菌病在中国所有法定报告传染病中的病例数中排名第五，因此仍然是公众健康的重大关切。这项研究旨在通过检查住院时间和受影响个人的相关费用，为人类布鲁氏菌病的经济负担提供见解。
■在这项回顾性研究中，我们收集了来自北京八所主要三级医院的467例主要诊断为人类布鲁氏菌病的住院病例的最新数据，中国,从2013年到2023年。全面探讨经济对个人的影响,我们不仅分析了住院时间和总费用，还检查了各种收费类型，包括毒品,实验室测试,医学成像,医疗,外科手术,医疗用品和消耗品，住院病床护理,护理服务,和其他服务费用。采用统计分析比较性别差异，年龄,种族,健康保险的类型，入院时的情况，合并症指数，手术的表现，和感染部位。
■住院时间和总费用在保险中都表现出明显的差异，手术,和感染部位组。利用类别表明，接受手术的患者和未接受手术的患者之间存在显着差异，以及不同的感染部位。此外，多元线性回归分析显示，入院时的病情，Elixhauser合并症指数，感染部位,手术影响住院时间和总费用。此外,年龄和保险类型与总费用相关.
■通过深入研究各种利用率类别，我们已经解决了文献中的一个重大差距。我们的发现为基于本研究中确定的影响因素优化卫生资源的分配和管理提供了有价值的见解。
■在这项回顾性研究中，我们收集了来自北京八所主要三级医院的467例主要诊断为人类布鲁氏菌病的住院病例的最新数据，中国,从2013年到2023年。全面探讨经济对个人的影响,我们不仅分析了住院时间和总费用，还检查了各种收费类型，包括毒品,实验室测试,医学成像,医疗,外科手术,医疗用品和消耗品，住院病床护理,护理服务,和其他服务费用。采用统计分析比较性别差异，年龄,种族,健康保险的类型，入院时的情况，合并症指数，手术的表现，和感染部位。
■住院时间和总费用在保险中都表现出明显的差异，手术,和感染部位组。利用类别表明，接受手术的患者和未接受手术的患者之间存在显着差异，以及不同的感染部位。此外，多元线性回归分析显示，入院时的病情，Elixhauser合并症指数，感染部位,手术影响住院时间和总费用。此外,年龄和保险类型与总费用相关.
■通过深入研究各种利用率类别，我们已经解决了文献中的一个重大差距。我们的发现为基于本研究中确定的影响因素优化卫生资源的分配和管理提供了有价值的见解。
