深圳市伤害患者住院费用及影响因素分析  

Analysis on the Hospitalization Expenses and its Related Factors of Injury Inpatients in Shenzhen

作　　者：周海滨[1] 熊静帆[1] 杨力[1] 彭绩[1] 刘小立[1] 刘颜[2] 乐新[3] 任仪谦 

机构地区：[1]广东省深圳市慢性病防治院慢病科,广东深圳518020 [2]北京大学深圳医院,广东深圳518036 [3]广东省深圳市南山区人民医院,广东深圳510515 [4]广东省深圳市宝安区公明医院,广东深圳518026

出　　处：《中国慢性病预防与控制》2007年第6期553-555,共3页Chinese Journal of Prevention and Control of Chronic Diseases

摘　　要：目的分析2006年深圳市伤害患者的住院费用及影响因素,了解伤害疾病负担,为如何降低伤害患者的住院费用提供依据。方法采用回顾性分析方法,对深圳市伤害监测系统7180例伤害患者住院费用进行构成分析,并对影响住院费用的因素进行单因素t检验或方差分析以及多元逐步线性回归分析。结果深圳市伤害患者住院人均费用和日均费用分别为3835.65元和437.86元;药费所占比例最高(36.10%),其次为治疗处理费(20.27%)。影响日均住院费用的主要因素是就诊医院级别、住院时间、年龄、付费方式、入院情况和伤害发生部位。结论伤害的疾病负担较高,通过加强院前救治、缩短住院时间、提高医疗保险监管力度等措施能有效控制住院费用。Objective To explore the hospitalization expenses and its related factors of injury cases in Shenzhen city in 2006, and to provide basis for the expense control in future. Methods The medical expense proportion was calculated on 7 180 injury cases with hospitalization data from Shenzhen injury surveillance system, ANOVA and multivariate regression analysis were used to determine the influencing factors for the expenses. Result The medical expenses of injury inpatients in Shenzhen were 3 835.65 RMB/case and 437.86 RMB/case/day. 36.10% and 20.27% of the total expenses were attributed to medication and therapy, respectively. The expense per day was correlated strongly with the level of hospital, length of stay, age, method of payment and injury location. Conclusions The disease burden of injury was higher than that of other diseases, Hospitalization expenses can be effectively controlled by taking strategies, such as enhancing the care and treatment before hospitalization, shortening the duration of hospitalization, avoiding infection in hospital and so on.

关 键 词：伤害 住院费用 影响因素 

分 类 号：R195.3[医药卫生—卫生统计学]