Analysis of inpatient cost burden and influencing factors of seniors’ patients with mental illness in Dalian, China
Abstract Background As China's aging population continues to grow, the prevalence of mental illness among the seniors has been steadily increasing. The aim of this study is to reveal the changing trends and characteristics of economic burden among seniors patients with long-term hospitalization...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-11-01
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| Series: | BMC Geriatrics |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12877-023-04424-w |
| _version_ | 1797556566714482688 |
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| author | Xin Dai Mingcheng Gao Yue Liu Run Lv Huanhong Chen Huayi Miao Ying Zhang |
| author_facet | Xin Dai Mingcheng Gao Yue Liu Run Lv Huanhong Chen Huayi Miao Ying Zhang |
| author_sort | Xin Dai |
| collection | DOAJ |
| description | Abstract Background As China's aging population continues to grow, the prevalence of mental illness among the seniors has been steadily increasing. The aim of this study is to reveal the changing trends and characteristics of economic burden among seniors patients with long-term hospitalization for mental illness, and to analyze the influencing factors. Methods The data for this study were gathered from seniors’ patients with mental illness who were hospitalized and aged 60 years or older. The patients were admitted to four specialized and general hospitals located in Dalian city between January 2018 and December 2020. The types of diseases include affective mental disorders (mood disorders), Schizophrenia, schizotypal, and delusional disorders, Organic (including symptomatic) mental disorders, Neurotic, stress-related and somatoform disorders, Mental retardation, Mental and behavioral disorders due to substance use. (Identify the main diagnosis at discharge using ICD-10 coding). This study analyzed the basic characteristics and disease-related information of seniors patients with long-term psychiatric disorders who were hospitalized, and explored the factors influencing hospitalization costs among patients with different illnesses. Results Among the 3871 study subjects, the average length of hospital stay was 127.51 days. The average hospitalization expenses per case were 33,656.07 yuan. Seniors’ patients with mental illness who receives treatment in specialized hospitals have higher hospitalization costs. Long-term hospitalization increases the total hospitalization costs. Age has an impact on hospitalization costs for patients with organic mental disorders. Patients with affective disorders (mood disorders) and neurotic, stress-related, and somatoform disorders who are covered by urban employee medical insurance have higher hospitalization costs.Patients with severe psychiatric disorders who have a 31-day readmission plan, as well as senior patients with somatoform disorders comorbid with other illnesses, incur higher hospitalization costs. Conclusions We should take corresponding measures to reduce the number of readmissions for patients with severe mental illnesses. The impact of treatment methods and differences in healthcare institutions on total hospitalization costs deserves further research. It is necessary to strengthen the prevention and diagnosis of comorbid physical illnesses in patients with mental disorders. The burden of mental illnesses in the seniors is significant, and medical insurance policies should be inclined towards providing support. |
| first_indexed | 2024-03-10T17:04:45Z |
| format | Article |
| id | doaj.art-4d84cf5b4b0b47128fdaeaf371a2a492 |
| institution | Directory Open Access Journal |
| issn | 1471-2318 |
| language | English |
| last_indexed | 2024-03-10T17:04:45Z |
| publishDate | 2023-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Geriatrics |
| spelling | doaj.art-4d84cf5b4b0b47128fdaeaf371a2a4922023-11-20T10:50:58ZengBMCBMC Geriatrics1471-23182023-11-0123111210.1186/s12877-023-04424-wAnalysis of inpatient cost burden and influencing factors of seniors’ patients with mental illness in Dalian, ChinaXin Dai0Mingcheng Gao1Yue Liu2Run Lv3Huanhong Chen4Huayi Miao5Ying Zhang6School of Public Health, Dalian Medical UniversitySchool of Public Health, Dalian Medical UniversitySchool of Public Health, Dalian Medical UniversitySchool of Public Health, Dalian Medical UniversitySchool of Public Health, Dalian Medical UniversitySchool of Public Health, Dalian Medical UniversitySchool of Public Health, Dalian Medical UniversityAbstract Background As China's aging population continues to grow, the prevalence of mental illness among the seniors has been steadily increasing. The aim of this study is to reveal the changing trends and characteristics of economic burden among seniors patients with long-term hospitalization for mental illness, and to analyze the influencing factors. Methods The data for this study were gathered from seniors’ patients with mental illness who were hospitalized and aged 60 years or older. The patients were admitted to four specialized and general hospitals located in Dalian city between January 2018 and December 2020. The types of diseases include affective mental disorders (mood disorders), Schizophrenia, schizotypal, and delusional disorders, Organic (including symptomatic) mental disorders, Neurotic, stress-related and somatoform disorders, Mental retardation, Mental and behavioral disorders due to substance use. (Identify the main diagnosis at discharge using ICD-10 coding). This study analyzed the basic characteristics and disease-related information of seniors patients with long-term psychiatric disorders who were hospitalized, and explored the factors influencing hospitalization costs among patients with different illnesses. Results Among the 3871 study subjects, the average length of hospital stay was 127.51 days. The average hospitalization expenses per case were 33,656.07 yuan. Seniors’ patients with mental illness who receives treatment in specialized hospitals have higher hospitalization costs. Long-term hospitalization increases the total hospitalization costs. Age has an impact on hospitalization costs for patients with organic mental disorders. Patients with affective disorders (mood disorders) and neurotic, stress-related, and somatoform disorders who are covered by urban employee medical insurance have higher hospitalization costs.Patients with severe psychiatric disorders who have a 31-day readmission plan, as well as senior patients with somatoform disorders comorbid with other illnesses, incur higher hospitalization costs. Conclusions We should take corresponding measures to reduce the number of readmissions for patients with severe mental illnesses. The impact of treatment methods and differences in healthcare institutions on total hospitalization costs deserves further research. It is necessary to strengthen the prevention and diagnosis of comorbid physical illnesses in patients with mental disorders. The burden of mental illnesses in the seniors is significant, and medical insurance policies should be inclined towards providing support.https://doi.org/10.1186/s12877-023-04424-wHospitalization costsSeniorsMental disorder |
| spellingShingle | Xin Dai Mingcheng Gao Yue Liu Run Lv Huanhong Chen Huayi Miao Ying Zhang Analysis of inpatient cost burden and influencing factors of seniors’ patients with mental illness in Dalian, China BMC Geriatrics Hospitalization costs Seniors Mental disorder |
| title | Analysis of inpatient cost burden and influencing factors of seniors’ patients with mental illness in Dalian, China |
| title_full | Analysis of inpatient cost burden and influencing factors of seniors’ patients with mental illness in Dalian, China |
| title_fullStr | Analysis of inpatient cost burden and influencing factors of seniors’ patients with mental illness in Dalian, China |
| title_full_unstemmed | Analysis of inpatient cost burden and influencing factors of seniors’ patients with mental illness in Dalian, China |
| title_short | Analysis of inpatient cost burden and influencing factors of seniors’ patients with mental illness in Dalian, China |
| title_sort | analysis of inpatient cost burden and influencing factors of seniors patients with mental illness in dalian china |
| topic | Hospitalization costs Seniors Mental disorder |
| url | https://doi.org/10.1186/s12877-023-04424-w |
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