1568例单病种病例统计比较与相关分析  

Comparative and Correlational Study of 1 568 Cases of Single Disease

作　　者：肖嵩[1] 罗五金[1] 姚岚[1] 

机构地区：[1]华中科技大学同济医学院医药卫生管理学院,武汉430030

出　　处：《中国卫生经济》2008年第4期46-48,共3页Chinese Health Economics

基　　金：中英城市社区卫生服务与贫困救助项目(UHPP)研究课题(14516025)

摘　　要：通过对4个级别15家医院、5个病种的1568例单病种病例(急性单纯性阑尾炎140例、小儿肺炎374例、剖宫产722例、子宫肌瘤231例及心肌梗塞101例)的统计学分析,围绕平均住院日、总费用和药品费进行了统计描述、差异比较,在相同与不同级别上进行相关性研究。得出结论:表面上看总的医疗费用、平均住院日是下降的,但从运行态势上看,该地区试行单病种付费是流于形式、药品主导、标准缺失、各自为政和基本失败的。Through the statistical analysis of 1568 Single Disease（SD） cases of five types in 15 hospitals at 4 levels, descriptions and comparisons are made concerning length of stay （LOS）, total expenditure, pharmaceutical cost, and correlational studies are made at selfsame and different levels. The conclusion lies in that： Apparently the total health expenditure（THE）, LOS are reduced, yet the piloting of SD in the investigated area is in effect a lip-service, which is characteristic of drug domination, lack of standards and conformity, hence unsuccessful.

关 键 词：单病种 平均住院日 总费用 药品费 

分 类 号：R197.3[医药卫生—卫生事业管理]