手术类单病种费用影响因素的Cox回归分析  

Analysis of effect factors of expenditure of surgical disease class by Cox proportional hazards regression model

作　　者：邬贻萍[1] 韩同钦[1] 吕维红[1] 陈伟[1] 王秀云[1] 

机构地区：[1]青岛市市立医院,山东省266071

出　　处：《中国医院统计》2010年第1期27-29,共3页Chinese Journal of Hospital Statistics

摘　　要：目的为了控制日益增长的医疗费用，通过Cox回归分析找出影响单病种费用的主要因素，为制定有针对性的费用控制政策提供参考依据。方法对3768例手术类单病种病人费用的影响因素进行Cox回归分析。结果提示手术类单病种发生高费用与病人性别、年龄、手术方式、麻醉方式、麻醉检测时间、药占比、病人付款方式密切相关。结论通过COX回归分析，明确了手术类单病种费用的主要影响因素，提出严格筛选病种、结合合理的临床路径和合理的花费开展费用控制工作。Objective In order to control the rising medical eosts, the major effect factors of expenditure of surgieal dis- ease class by Cox proportional hazards regression model were analyzed to provide a reference basis for developing targeted cost control policy. Methods The effect factors of expenditure of 3 768 eases of surgieal disease class by Cox proportional hazards regression model were analyzed. Results Cox regression analysis results demonstrated that the high cost of surgical single disease was closely related with the patient sex, age, surgical methods, anesthesia, nareotie detection time, drugs ratio and the payment method. Conclusion Through Cox regression analysis, the major effeet factors of expenditure of surgieal disease class were made elear and a proposal about eontrolling eosts was put forward whieh was moved on strictly sereening disease class and combined with reasonable clinical pathways and reasonable eosts.

关 键 词：COX回归 医疗保险 单病种 费用控制 

分 类 号：R197[医药卫生—卫生事业管理]