YẾU TỐ ẢNH HƯỞNG ĐẾN CHI PHÍ ĐIỀU TRỊ NỘI TRÚ CỦA NGƯỜI BỆNH VIÊM PHỔI TẠI BỆNH VIỆN PHẠM NGỌC THẠCH THÀNH PHỐ HỒ CHÍ MINH NĂM 2023

Abstract

Objective: Analyze several factors affecting inpatient treatment costs for pneumonia patients at Pham Ngoc Thach Hospital, Ho Chi Minh City, in 2023. Methods: This is a qualitative study. The qualitative components were conducted using in-depth interview guides and group discussions for different target groups regarding the factors affecting the costs of pneumonia patients being treated at the hospital. These were developed based on a theoretical framework used to interview patients/their families, treating physicians, department heads, leaders of the Social Work Department, and hospital management. The researchers recorded and noted the information gathered during interviews and discussions. Results and Recommendations: The qualitative results identified several factors affecting the treatment costs of pneumonia patients hospitalized at the facility, such as age, gender, number of treatment days, comorbidities, disease severity, and health insurance (HI) status. Additionally, factors from the management side, including HI policies, hospital policies, nutrition services, IT applications in disease management and monitoring, support from the Social Work Department, and referrals from the hospital, were found to influence costs. Recommendations include enhancing the activities of the Nutrition Department and the Social Work Department to both increase revenue for the hospital and reduce the financial burden on patients. Furthermore, the hospital should improve its infrastructure to implement an electronic medical record system