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对某医院的单病种住院费用进行统计分析,为提高单病种住院费用的管理提供有益的参考。方法:从某二甲医院2008年1月至2010年12月的住院患者中选出前3种疾病共5913例,包括脑梗塞、不稳定型冠心病、胰岛素依赖型糖尿病(2型糖尿病),对住院患者的医疗费用及影响因素进行分析。结果:2008年至2010年脑梗塞患者的住院费用主要为治疗费用,不稳定型冠心病、2型糖尿病患者的住院费用主要为药品费用。检查费用也是住院费用中的重要构成部分。各年的药品费用构成比有明显上升趋势。住院床日数与次均住院费用呈显著相关关系。60岁以上患者的次均住院费用明显高于其它年龄段。各年龄段的次均住院费用均呈逐年上升趋势。结论:通过对单病种住院费用进行了分析,为减少医疗费用的不合理增长,合理利用医疗卫生资源,提高医疗服务质量提供了一定的参考。
The statistical analysis of the cost of hospitalization of a single disease in a hospital provides a useful reference for improving the management of the hospital expense of a single disease. Methods: A total of 5913 cases of the first three kinds of diseases were selected from hospital inpatients from January 2008 to December 2010 in a second-grade hospital, including cerebral infarction, unstable coronary heart disease, insulin-dependent diabetes mellitus (type 2 diabetes mellitus) Inpatient medical costs and influencing factors were analyzed. Results: The cost of hospitalization for patients with cerebral infarction from 2008 to 2010 was mainly the cost of treatment. Unstable coronary heart disease was the mainstay of hospitalization. The cost of hospitalization for patients with type 2 diabetes was mainly drug cost. Checking costs is also an important part of hospitalization costs. The composition ratio of the cost of medicines in each year shows a clear upward trend. There was a significant correlation between the hospital bed days and the average hospitalization expenses. The average cost of hospitalization for patients over the age of 60 was significantly higher than other age groups. The average hospitalization costs of all ages showed a rising trend year by year. Conclusion: Through the analysis of single-patient hospitalization costs, it provides some reference for reducing the unreasonable increase of medical expenses, making rational use of medical and health resources and improving the quality of medical service.