循环系统疾病医保患者住院医疗费用影响因素的通径分析  

Analysis of the Expenditure of Medical Insurant Inpatients of Circulatory System with Path Analysis Method

作　　者：肖永红[1] 闫子海 

机构地区：[1]华北煤炭医学院科研处,063000 [2]河北省滦县医疗保险中心,063700

出　　处：《中国卫生统计》2007年第5期505-506,510,共3页Chinese Journal of Health Statistics

基　　金：河北省科技厅课题(05457270)

摘　　要：目的探讨循环系统疾病医保患者住院医疗费用的影响因素,为建立合理的费用控制机制提供依据。方法以某县内12所医院2004年度循环系统疾病255名医保患者为研究对象,应用通径分析方法,对其住院医疗费用影响因素进行分析。结果住院日是住院费用最主要影响因素;年龄、3日内确诊是通过对住院日间接影响住院费用,而医院级别、入院情况、手术与否则同时影响住院日和住院费用。结论有效控制住院病人的医疗费用增长,需采取综合控制措施。Objective To explore the main influence factors on the expenditure of medical insurant inpatients of circulatory system, to offer the gists for setting up the effective mechanism of controlling medical expense. Methods The datas derived from the information system of the medical insurance during 2004 in 12 hospitals, 255 medical insurant inpatients of circulatory system were enrolled in this study, their medical expenditures were analysed with path analysis method. Results It was the hospitalized days that was critical influence factor of hospitalization expense. Age, diagnosis in 3 days influenced the hospitalization expense by way of the hospitalized days, while hospital degree, the complexion of entering hospital and operation influenced the hospitalized days as well as the hospitalization expense. Conclusion The comprehensive measures must be taken to control effectively the rise of medical expenditure of inpatients.

关 键 词：循环系统 医疗保险 医疗费用 通径分析 

分 类 号：R54[医药卫生—心血管疾病]