2003～2008年深圳市支气管炎患者住院费用分析  

ANALYSIS ON THE HOSPITALIZATION EXPENSES OF BRONCHITIS PATIENTS IN SHENZHEN CITY FROM 2003 TO 2008

作　　者：徐海燕[1] 张福林[2] 张强[1] 赵钰[1] 

机构地区：[1]四川大学华西公共卫生学院卫生统计学教研室,成都610041 [2]深圳市医学信息中心

出　　处：《现代预防医学》2010年第5期850-852,855,共4页Modern Preventive Medicine

摘　　要：[目的]探讨2003～2008年深圳市支气管炎患者住院费用的的变化情况及影响因素,为控制住院费用上涨提供依据。[方法]利用深圳市21498例支气管炎患者的资料,通过描述性分析和两水平方差成分模型等方法探讨其住院费用的变化情况和影响因素。[结果]2003～2008年间,支气管炎患者住院费用呈现"升-降-升"的变化趋势;住院费用存在医院水平上的聚集性;年龄、住院天数、是否手术等是其住院费用的的影响因素。[结论]两水平方差成分模型用于分析不同医院水平住院费用的影响因素具有合理性;开展健康教育、加强医疗价格管理等能有效地降低住院费用。[Objective] To explore the changes and the influential factors of hospitalization expenses of bronchitis patients in Shenzhen city from 2003 to 2008,and to provide basis for the hospitalization expenses control.[Methods] Based on the data of 21498 bronchitis cases in Shenzhen City,discussed the changes and the influencing factors of hospitalization expenses of bronchitis by descriptive analysis and two level variance component model.[Results] Hospitalization expenses of bronchitis had a tendency of ＂up-down-up＂ from 2003 to 2008;the same hospitals had the similar hospitalization expenses and age,hospitalization days,surgery or not,etc.were the influential factors of hospitalization expenses.[Conclusion] Two level variance component model is reasonable to analyze influential factors of hospitalization expenses of different hospitals;developing health education,strengthening the medical price management can be effective in reducing hospitalization expenses.

关 键 词：支气管炎 住院费用 影响因素 两水平方差成分模型 

分 类 号：R562.21[医药卫生—呼吸系统]