医院感染直接经济损失的病例对照研究  

Matched Case-control Study on Direct Economic Loss of Nosocomial Infections

作　　者：李海峰[1] 车飞 夏娴[1] 王志刚[1] 

机构地区：[1]北京军区总医院感染控制科,北京100700 [2]北京燕化医院,北京102500

出　　处：《中国卫生经济》2011年第1期94-96,共3页Chinese Health Economics

摘　　要：目的:分析某综合性医院医院感染所造成的直接经济损失。方法:采用1:1配对病例对照研究方法,调查269对患者的医疗费用,计算医院感染的直接经济损失。结果:病例组的平均医疗费用为62 332.03元,对照组为29 144.84元,平均每例医院感染病例多支出医疗费用33 187.18元(P<0.001)。医疗费用的增加以西药费为主,占总增加费用的59.65%;其次是治疗费和检验费,分别占总增加费用的18.3l%和7.12%。白血病患者医院感染经济损失最高,平均每病例109 769.51元;其次为冠心病患者和早产儿,分别为39 384.67元和28 505.21元。病例组的平均住院日为41.02天,比对照组的22.12天高出18.85天(P<0.001)。结论:医院感染会加重患者的经济负担,延长患者的平均住院日。做好医院感染管理工作可获得巨大的经济效益和社会效益。Objective： To analyze the direct economic loss caused by nosocomial infections. Methods： A matched case-control study was conducted among 269 pairs of hospitalized patients with a view to investigate the direct economic loss caused by nosocomial infections. Results： The average medical care expenses of patients in the case group was 62 332.03 RMB, 33 187.18 RMB higher than that in the control group（P〈O.O01）. Drug expenses took up the largest part of the extra medical care expenses, accounting for 59.65%, while extra expenses on non-drug therapies and laboratory examinations, which accounted for 18.31% and 7.12% respectively. By diseases, nosocomial infection of leucocythemia patients caused the highest economic loss, averaging at 109 769.51 RMB, followed by patients of the coronary atherosclerotic heart disease and the premature infants, which are 39 384.67 RMB and 28 505.21 RMB, respec- tively. The average length of hospitalization was 41.02 days in the case group, 18.85 days longer than that in the control group （P〈 0.001）. Conclusions： Nosocomial infections will increase the patients＇ expenses and prolong the length of stay. Good control of nosocomial infections can bring tremendous social and economic profits.

关 键 词：医院感染 经济损失 病例对照研究 

分 类 号：R197.3[医药卫生—卫生事业管理]