江苏省乡镇卫生院住院费用影响因素的抽样分析  

Sampling analysis of influencing factors on hospitalization expenditure in township hospitals of Jiangsu province

作　　者：倪萍[1] 张雪静[2] 陈国钧[3] 李小荣[1] 梁宁霞[2] 张海锋[1] 曹克将[1] 

机构地区：[1]南京医科大学第一附属医院心内科,江苏南京210029 [2]南京医科大学科技处,江苏南京210029 [3]南京医科大学公共卫生学院,江苏南京210029

出　　处：《南京医科大学学报（社会科学版）》2010年第4期281-285,共5页Journal of Nanjing Medical University（Social Sciences）

基　　金：国家"十一五"科技支撑计划项目(2007BAI07A10)

摘　　要：目的:分析我省部分乡镇卫生院住院患者的住院费用特点及其影响因素,为合理优化乡镇卫生院收费管理,解决农民"看病难、看病贵"问题提供基线资料。方法:采用整群抽样方法,调查省内4家乡镇卫生院住院患者的相关资料,用SPSS 13.0软件对住院费用进行统计描述、住院天数与住院费用的曲线估计、住院费用影响因素的方差分析、秩和检验等。结果:西药费用占患者住院费用比例最高;住院天数与住院费用呈直线相关;患者的年龄与治疗效果对住院费用有显著影响,性别和住院科别对住院费用的影响无统计学意义。结论:应从提高乡镇医院医疗质量,缩短住院天数,合理控制药品费用,建立健全医疗保障体系几方面着手,减少住院费用。Objective：To provide the evidence to optimize the management of hospital charges reasonably and to solve medical-treatment problems of rural residents through analyzing the characteristics and the influencing factors of inpatients＇ hospitalization expenditure in township hospitals of Jiangsu province.Methods：Cluster sampling method was used to investigate objective data of inpatients of 4 township hospitals.Statistic descriptions of hospitalization expenditure,curve estimates of hospitalization period and expenditure,ANOVA and KruskalWallis test of influencing factors were handled by SPSS 13.0 soft for windows.Results：Large parts of hospital charges were medicine fee.Admission day got straight linear correlation with hospitalization expenditure.Age and the treatment effect had significant influence on the hospitalization expenditure and gender or section had not.Conclusion：Improving medical quality of township hospitals,shortening hospitalization time,regulating medicine charge,and establishing a perfect medical insurance system should be engaged to reduce hospitalization expenditure.

关 键 词：乡镇卫生院 住院费用 方差分析 影响因素 

分 类 号：R197.62[医药卫生—卫生事业管理]