某二级甲等医院住院收入因素分析新探讨  

An analysis of economic benefits in a hospital of a second-rank first class

作　　者：陈林 高倩[2] 高文发[2] 

机构地区：[1]北京市中关村医院统计室,100080 [2]长春中医药大学

出　　处：《中国医院统计》2007年第3期240-243,共4页Chinese Journal of Hospital Statistics

基　　金：首都医学发展科研基金(2005-3077)

摘　　要：目的通过对2004年、2005年、2006年的住院收入进行因素分析,剖析各个因素变动对总量指标变动的影响程度和方向,阐明总量指标和各个因素之间的经济数量关系。方法运用多因素指数分析法和灰色关联分析法。结果影响住院收入的主要因素是出院人次,与出院人次关联度最大的是平均住院日、病床周转次数、病床使用率;其次是出院者日人均费用,与此关联度最大的是药费、床位费和检查费。结论控制医疗费用的不合理增长,缩短平均住院日,提高病床周转次数及使用率,降低药费和检查费。Objective To anatomize the affected degree and direction towards changes in overall index caused by each factor＇s modification, and to clarify the economic quantity relations among overall index and each factor by analyzing factors of the hospital income from the year 2004 to 2006. Methods Multiple factor index analyzing rule combined with grey interrelation analyzing rule is applied. Results The results show that the most important factor affecting the income of hospital is the leave hospital person-time, which has the most interlocking relation with the average hospitalized time, the frequency of shifting sickbeds and the occupation of sickbeds ; and we found the second important factor is the increase of the average expense that leave hospital person cost per day, which is most related to charges for medicine, sickbeds and health check. Conclusion The over increasing of medical charges should be controlled, the average hospitalized time be shorten, the frequency of sickbeds shifting and their oc- cupation be enhanced, as well as the fees of medicine and the checking up be reduced.

关 键 词：出院人次 日人均费用 住院收入 平均住院日 因素分析 关联度 

分 类 号：R195.1[医药卫生—卫生统计学]