Analysis on the influencing factors of the medical expense burden of the dead inpatients in Shenzhen based on the first page data of medical records

Corresponding author: wu liqun, 57128241@qq.com

DOI: 10.12201/bmr.202305.00003

•  

  Abstract: Objective: To investigate the influencing factors of the medical expense burden of the dead inpatients. Methods: The quantile regression model was constructed using the first page data of the medical records of the dead inpatients in Shenzhen Western Medical Hospital from 2017 to 2021 to estimate the impact of age, gender, medical payment methods and other variables on medical expenses under different medical expense levels. Results: At the 0.5 quantile level, the medical expense burden of the dead inpatients who were male, the younger the age, the more tertiary hospitals visited, the number of diseases and the number of days in hospital were greater; With the improvement of the quantile level, the impact of medical insurance payment on the medical expense burden of hospitalized patients has changed from negative to positive. Conclusion: The burden of medical expenses on female and elderly hospitalized dead patients is lower; Medical insurance participation may promote the occurrence of ineffective medical treatment and excessive medical treatment; The increase in the number of diseases has promoted the burden of medical expenses on hospitalized dead patients. We should develop and improve hospice care services, promote the transformation of death concepts, and pay attention to the impact of multiple diseases on the risk of hospital death.

  Key words: Deaths in hospital; Medical expenses; First page of medical record

  Submit time: 9 May 2023

  Copyright: The copyright holder for this preprint is the author/funder, who has granted biomedRxiv a license to display the preprint in perpetuity.
• html

• 图表

• wangyi. Study on Constructing Paperless System of Inpatient Medical Record. 2020. doi: 10.12201/bmr.202004.00031

  Zheng Jing. Design of Data Acquisition System Based on Shenzhen National Health Information Platform. 2023. doi: 10.12201/bmr.202305.00021

  WANG Hai-ping NING Man-xiu, Ning manxiu. Does The policy of Integrated Medical Insurance System (IMIS) Alleviate The Medical Burden of the Middle and Old Aged People in Rural Areas? Empirical Analysis Based on The CHARLS Data. 2022. doi: 10.12201/bmr.202207.00035

  xulu. Research and thinking on self-printing behavior characteristics of outpatient and emergency electronic medical record patients in a large grade A hospital. 2021. doi: 10.12201/bmr.202109.00008

  ZHAO Jia-Qi, WANG Xiao-Feng, FAN Yu-Yu, ZHANG Wei, WANG Hui-Xuan, LI Jin-Shan. Research on the Quality and Countermeasures of Electronic Medical Record Data. 2020. doi: 10.12201/bmr.202011.00008

  ZHANG Zhong-fang, LIU Hai-lan, LIU Xing. Definition of The Standard of Catastrophic Health Expenditure in China：Based on The Effect of Medical Expenditure on Household Basic Living Expenses. 2022. doi: 10.12201/bmr.202212.00006

  DU Tao, YANG Jia Ling, ZANG Wei. Research on the influencing factors of patients willingness to first visit at the grass-roots level based on the extended TAM-TPB integrated model. 2023. doi: 10.12201/bmr.202303.00014

  SUN Chenghao, LIU Fen, ZHAO Feng. Research on electronic Medical Record System based on Block chain technology. 2020. doi: 10.12201/bmr.202007.00012

  houyanjie, wangyu, yanshiyuan, zhangwenjing, zhanglin, yaojun. Effects of Long-term Care Insurance on Medical Service Utilization, Medical Burden and Health of Middle-aged and Elderly People：An empirical research based on DID. 2021. doi: 10.12201/bmr.202107.00029

  Hu jiajing, Qiu Hui. A study on the utilization of Internet medical services and its influencing factors based on UTAUT model. 2023. doi: 10.12201/bmr.202303.00006

• ID	Submit time	Number	Download
  1	2022-12-13	bmr.202305.00003V1	Download

• Public  Anonymous  To author only Submit Comments