Hospital spending and length of hospital stay for mental disorders in Hunan, China
Objectives: To describe hospital spending and length of stay for mental disorders in Hunan, China. Methods: We extracted hospital care data for Hunan province from the Chinese National Health Statistics Network Reporting System. Patients with mental disorders (ICD-10 codes: F00 to F99) as the princi...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-04-01
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| Series: | Heliyon |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2405844023021758 |
| _version_ | 1827957375001165824 |
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| author | Yanni Xiao Yu Yu Ziqi Zhou Wen Liu Zhihong Luo Chuwen Tang Pengfei Xiao Shi Wu Wen Xianxiang Zeng Weijun Zhong Minxue Shen |
| author_facet | Yanni Xiao Yu Yu Ziqi Zhou Wen Liu Zhihong Luo Chuwen Tang Pengfei Xiao Shi Wu Wen Xianxiang Zeng Weijun Zhong Minxue Shen |
| author_sort | Yanni Xiao |
| collection | DOAJ |
| description | Objectives: To describe hospital spending and length of stay for mental disorders in Hunan, China. Methods: We extracted hospital care data for Hunan province from the Chinese National Health Statistics Network Reporting System. Patients with mental disorders (ICD-10 codes: F00 to F99) as the principal diagnosis and hospitalized between January 1, 2017 and December 31, 2019 were included. We retrieved information on age, sex, number of comorbidities, diagnosis, level of hospital, hospital costs, date of admission and discharge, length of stay (LOS), and method of payment of eligible participants. Spending at the provincial level, and spending and LOS at the individual level were described. Quantile regression and linear regression were conducted to investigate factors for hospital cost and LOS for major mental disorders. Results: The 2019 annual spending on mental disorders in Hunan province was 160 million US dollars, and 71.7% was paid by insurance. The annual spending on schizophrenia was 84 million dollars, contributing to a primary burden of mental disorders. The median spending for mental disorders was $1,085 per patient, and the median hospital stay was 22 days. The study identified several significant factors associated with hospital cost and LOS, including age, sex, comorbidity, and level of the hospital. In particular, a higher level of the hospital was associated with a higher hospital spending but a shorter LOS. Women with schizophrenia had a comparable hospital spending but a significantly shorter LOS than men with schizophrenia. Conclusion: Hospitalization spending for patients with mental disorders is substantial. Schizophrenia is the major burden of hospitalization for mental disorders. While patients treated at a higher level of hospital had higher spending, they stayed shorter in these hospitals. |
| first_indexed | 2024-04-09T15:18:52Z |
| format | Article |
| id | doaj.art-f8714bf6d11e4895a1d321669ce74488 |
| institution | Directory Open Access Journal |
| issn | 2405-8440 |
| language | English |
| last_indexed | 2024-04-09T15:18:52Z |
| publishDate | 2023-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Heliyon |
| spelling | doaj.art-f8714bf6d11e4895a1d321669ce744882023-04-29T14:52:23ZengElsevierHeliyon2405-84402023-04-0194e14968Hospital spending and length of hospital stay for mental disorders in Hunan, ChinaYanni Xiao0Yu Yu1Ziqi Zhou2Wen Liu3Zhihong Luo4Chuwen Tang5Pengfei Xiao6Shi Wu Wen7Xianxiang Zeng8Weijun Zhong9Minxue Shen10College of Integrated Traditional Chinese and Western Medicine, Hunan University of Chinese Medicine, Changsha, Hunan, China; Brain Hospital of Hunan Province, Changsha, Hunan, ChinaDivision of Prevention and Community Research, Department of Psychiatry, Yale School of Medicine, New Haven, CT, USAGraduate School, Hunan University of Chinese Medicine, Changsha, Hunan, China; Department of Obstetrics and Gynecology, The First Hospital of Hunan University of Chinese Medicine, Changsha, Hunan, ChinaSchool of Educational Science, Hunan First Normal University, Changsha, Hunan, ChinaBrain Hospital of Hunan Province, Changsha, Hunan, China; Corresponding author.Brain Hospital of Hunan Province, Changsha, Hunan, China; Graduate School, Hunan University of Chinese Medicine, Changsha, Hunan, ChinaBrain Hospital of Hunan Province, Changsha, Hunan, ChinaDepartment of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha, Hunan, China; Ottawa Hospital Research Institute, Clinical Epidemiology Program, University of Ottawa, Ottawa, Canada; School of Epidemiology, Public Health, And Preventive Medicine, University of Ottawa, Ottawa, CanadaBrain Hospital of Hunan Province, Changsha, Hunan, China; Corresponding author.Hunan Key Laboratory of Pharmacogenetics, Institute of Clinical Pharmacology, Central South University, Changsha, Hunan, ChinaDepartment of Social Medicine and Health Management, Xiangya School of Public Health, Central South University, Changsha, Hunan, China; Furong Laboratory, Changsha, Hunan, China; Corresponding author. Department of Social Medicine and Health Management, Xiangya School of Public Health, Central South University, Changsha, Hunan, China.Objectives: To describe hospital spending and length of stay for mental disorders in Hunan, China. Methods: We extracted hospital care data for Hunan province from the Chinese National Health Statistics Network Reporting System. Patients with mental disorders (ICD-10 codes: F00 to F99) as the principal diagnosis and hospitalized between January 1, 2017 and December 31, 2019 were included. We retrieved information on age, sex, number of comorbidities, diagnosis, level of hospital, hospital costs, date of admission and discharge, length of stay (LOS), and method of payment of eligible participants. Spending at the provincial level, and spending and LOS at the individual level were described. Quantile regression and linear regression were conducted to investigate factors for hospital cost and LOS for major mental disorders. Results: The 2019 annual spending on mental disorders in Hunan province was 160 million US dollars, and 71.7% was paid by insurance. The annual spending on schizophrenia was 84 million dollars, contributing to a primary burden of mental disorders. The median spending for mental disorders was $1,085 per patient, and the median hospital stay was 22 days. The study identified several significant factors associated with hospital cost and LOS, including age, sex, comorbidity, and level of the hospital. In particular, a higher level of the hospital was associated with a higher hospital spending but a shorter LOS. Women with schizophrenia had a comparable hospital spending but a significantly shorter LOS than men with schizophrenia. Conclusion: Hospitalization spending for patients with mental disorders is substantial. Schizophrenia is the major burden of hospitalization for mental disorders. While patients treated at a higher level of hospital had higher spending, they stayed shorter in these hospitals.http://www.sciencedirect.com/science/article/pii/S2405844023021758Mental disorderSchizophreniaHospitalizationSpendingLength of hospital stay |
| spellingShingle | Yanni Xiao Yu Yu Ziqi Zhou Wen Liu Zhihong Luo Chuwen Tang Pengfei Xiao Shi Wu Wen Xianxiang Zeng Weijun Zhong Minxue Shen Hospital spending and length of hospital stay for mental disorders in Hunan, China Heliyon Mental disorder Schizophrenia Hospitalization Spending Length of hospital stay |
| title | Hospital spending and length of hospital stay for mental disorders in Hunan, China |
| title_full | Hospital spending and length of hospital stay for mental disorders in Hunan, China |
| title_fullStr | Hospital spending and length of hospital stay for mental disorders in Hunan, China |
| title_full_unstemmed | Hospital spending and length of hospital stay for mental disorders in Hunan, China |
| title_short | Hospital spending and length of hospital stay for mental disorders in Hunan, China |
| title_sort | hospital spending and length of hospital stay for mental disorders in hunan china |
| topic | Mental disorder Schizophrenia Hospitalization Spending Length of hospital stay |
| url | http://www.sciencedirect.com/science/article/pii/S2405844023021758 |
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