抑郁症门诊费用分析  

Analysis of the average outpatient expenses for depressive patients

作　　者：周哲颖[1] 孙琳[1] 戴民[1] 

机构地区：[1]上海市精神卫生中心,200030

出　　处：《上海精神医学》2007年第3期170-172,共3页Shanghai Archives of Psychiatry

摘　　要：目的分析抑郁症门诊费用的趋势特征及影响因素，从中了解精神卫生的费用情况，为促进精神卫生资源的合理运用和投入提供依据。方法用VFP数据库进行数据整合，通过SPSS软件包分析，描述出抑郁症门诊费用的趋势和分布，并进行单因素方差分析和多因素逐步回归分析。结果运用居民消费价格指数排除因医疗服务价格因素的变动对门诊均次费用影响后发现，2002-2005年抑郁症门诊费用共增长了71．22％，主要是药费和专家费的增长决定了门诊费用的增长。其次因素分析表明：就诊次数、地域费别是影响抑郁症门诊费用的因素。结论1.门诊费用上升有多种原因：新型药的推广和求治专家门诊意愿增强引起均次费用的上升；现行医疗机构补偿制度和药品定价制度、内部管理机制等因素引起的利益驱动促进了门诊费用的增长，政府和医院应该加大投入和管理力度。2.因素差别引起的费用差异有显著意义，因此在制定单病种费用时应考虑相关影响因素。Objective： To provide scientific basis for making health policy by analyzing the tendency and character of the depressive outpatient charges. Methods： We generalized the outpatient charge tendency and analyzed its constituent, defined the factors by one way ANOVA , and conducted the stepwise regression analysis. Results：Drug charges and professional charges promoted the rising of the outpatient expenses, the influencing factors of the charges were clinic times,medical treatment of locality. Conclusion：Medical factors, political factors and social resource restriction lead the present outpatient charge rising status. The department of health administration and financial organizations should enhance the resources input into mental health care and the hospital should improve its pricing management.

关 键 词：抑郁症 门诊均次费用 趋势分布 影响因素 

分 类 号：R749.4[医药卫生—神经病学与精神病学]