2392例伤害住院病人医疗费用研究  

An Analysis on 2392 Cases of Injury Inpatient's Medicine Cost

作　　者：张建萍[1] 刘苹[1] 隋维华[2] 

机构地区：[1]昆明医学院公共卫生学院,昆明市650000 [2]昆明医学院第二附属医院病案统计科,昆明市650101

出　　处：《中国病案》2006年第8期31-33,共3页Chinese Medical Record

摘　　要：目的了解伤害发生的现状及住院费用的支付情况,给予卫生部门提供相关信息,为预防和控制伤害发生以及降低伤害患者的住院费用提供科学的依据。方法采取整群抽样的方法,抽取某市级医院2003年～2005年3月伤害住院病人病案记录资料2392例,以国际疾病分类标准(ICD-10)为诊断分类依据进行分类统计。采用SPSS统计软件进行数据的处理,和x2检验、方差分析。结果在伤害住院病人2392例中,男性1709例(71.4％),女性683例(28.6％)。各类不同原因和性别的伤害中,男性高发于女性,其中职业伤害、斗殴所致的意外伤害的男女比例高达近6：1,高空物体坠落男女比例次之为5：1,交通伤害所致的意外伤害的男女比例为2.08：1。有统计学差异,x2=90.85,P＜0.01。从不同损伤部位费用的支付,头部／颈部的损伤总费用支付高达8,401,777元,占伤害住院病人总费用的47.67％,其次四肢损伤的总费用3,710,948元,占伤害住院病人总费用的21.05％。结论提高院前急救和院内治疗的质量,减少不必要的费用支付,从而有效地降低医疗负担。Objectives To understand the current situation and medical cost of the injured inpatient＇s, and to control and decrease the patients＇ financial burden. Methods With the method of cluster sample we collect 2392 cases of medicine record from six hospitals in Kunming areas during January 2003 to May 2005. Then we classified them and made a statistics with International Classification Disease （ICD-10）. And then we transacted the data with SPSS software, X2 inspection and analysis of variance. Results The proportion of the Male 1709 （71.4%） is higher than female 683 （28.6%）. In difference reasons and injuries, the male is higher frequency than female, including occupation, fight and fall wound. The statistical significant （X^2=90.85,P〈0.01）. Head/neck cost payment is higher than others＇. Calculation We should pay more attention to emergency care in prehospital and post-hospital, to decrease unnecessary cost.

关 键 词：伤害住院病人 医疗费用 降低费用 

分 类 号：R197.3[医药卫生—卫生事业管理]