脑卒中首发病人住院费用分析  

Analysis of Hospital Charges for First-ever Stroke Inpatients

作　　者：陈若青[1] 马再鸿[2] 王漫云[2] 

机构地区：[1]中山大学公共卫生学院,广州510080 [2]中山大学附属第二医院,广州510120

出　　处：《中国卫生经济》2008年第11期52-54,共3页Chinese Health Economics

摘　　要：目的:探讨脑卒中首发病人住院费用的影响因素,为合理控制医疗费用,从而为降低病人的经济负担提供决策依据。方法:选择2003—2007年在广州某大学附属医院住院的脑卒中首发病人2217例,分析可能影响住院费用的因素,并利用多元线性逐步回归分析法对各影响因素进行综合分析。结果:影响脑卒中首发病人住院费用的因素有住院天数、脑卒中类型、入院情况、出院情况和年龄等,其中,住院天数是主要因素。结论:控制住院费用是降低脑卒中病人经济负担的关键,尤其要以缩短住院天数为突破口。Objective Through analyzing factors associated with hospital charges for first-ever stroke inpatients, the purpose of the present study is to provide evidences for rational controls of medical expenses and measures to alleviate patients＇ economic loads. Methods The study subjects were 2 217 first-ever stroke patients who were hospitalized in one affiliated hospital of a University in Guangzhou. The factors associated with hospital charges of the inpatients were analyzed with stepwise multiple regression model. Results Factors associated with hospital charges include length of hospital stay （LOHS） , .type of stroke, status of being hospitalized, status of being discharged and age, and LOHS is the main factor. Conclusions The shortening of LOHS should be emphasized in the process of hospital charge control, which is significant for lessening the economic burdens of patients with stroke.

关 键 词：脑卒中首发病人 住院费用 住院天数 

分 类 号：R197.3[医药卫生—卫生事业管理] R743.3[医药卫生—公共卫生与预防医学]