Analysis of hospital charges for cerebral infarction stroke inpatients in Beijing, People's Republic of China

Feng Tu, Shoji Tokunaga, Zhou Lu Deng, Koichi Nobutomo

Research output: Contribution to journalArticle

30 Citations (Scopus)

Abstract

Objective: Stroke is a heavy economic burden on the individuals, society and health services in China, where health expenditure is rising rapidly. The purpose of the present study is to examine health services and demographic factors associated with inpatient charges for cerebral infarction in China, focusing on hospital charges of insured and uninsured patients. Methods: The study subjects were 545 patients with a principal diagnosis of cerebral infarction stroke who were discharged from the China-Japan Friendship Hospital from January 1, 1997 through December 31, 1998. Demographic, clinical and administrative data were retrospectively collected from the medical record and financial database. The influence of social and medical factors on total charges was analyzed with stepwise multiple regression model. Results: Of 545 subjects, 429 (79%) were the insured patients and 116 (21%) were the uninsured patients. Length of hospital stay (LOHS) for the insured patients (median, 32 days) was significantly longer (P<0.001) than that for the uninsured (median, 23 days). The hospital charges per discharge for the insured was significantly higher (geometric mean, 10 407 yuan) (P<0.0001) than that for the uninsured patients (geometric mean, 5857 yuan). With stepwise multiple regression, factors associated independently with the hospital charge were: longer hospital stay, insurance status, increased number of head magnetic resonance imaging (MRI) and computerized tomography (CT), infection in hospital stay, and more severe condition of stroke. Conclusions: Inpatient charge for cerebral infarction stroke was positively associated with being the insured. The findings suggest an overuse of health care resources in insured patients and limited use of resources by those who are not.

Original languageEnglish
Pages (from-to)243-256
Number of pages14
JournalHealth Policy
Volume59
Issue number3
DOIs
Publication statusPublished - Jan 31 2002

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Hospital Charges
Cerebral Infarction
Inpatients
China
Stroke
Length of Stay
Health Services
Demography
Insurance Coverage
Health Resources
Health Expenditures
Beijing
Medical Records
Japan
Head
Tomography
Economics
Magnetic Resonance Imaging
Databases
Delivery of Health Care

All Science Journal Classification (ASJC) codes

  • Health Policy

Cite this

Analysis of hospital charges for cerebral infarction stroke inpatients in Beijing, People's Republic of China. / Tu, Feng; Tokunaga, Shoji; Deng, Zhou Lu; Nobutomo, Koichi.

In: Health Policy, Vol. 59, No. 3, 31.01.2002, p. 243-256.

Research output: Contribution to journalArticle

Tu, Feng ; Tokunaga, Shoji ; Deng, Zhou Lu ; Nobutomo, Koichi. / Analysis of hospital charges for cerebral infarction stroke inpatients in Beijing, People's Republic of China. In: Health Policy. 2002 ; Vol. 59, No. 3. pp. 243-256.
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