经蝶垂体瘤切除术患者住院费用的影响因素  

Influencing factor hospitalization expenses in patients undergone transsphenoidal pituitary tumor resection

作　　者：强莹[1] 顾艳荭[2] 丁敏[4] 徐秀群 单君[3] 

机构地区：[1]南通大学护理学院基础护理教研室,226001 [2]南通大学护理学院人文护理教研室,226001 [3]南通大学护理学院2009级硕士研究生,226001 [4]南通大学附属医院护理部 [5]南通大学附属医院脑外科

出　　处：《中华现代护理杂志》2011年第15期1755-1756,共2页Chinese Journal of Modern Nursing

基　　金：南通市科技局软科学科技计划项目（R2008012）

摘　　要：目的通过对经蝶垂体瘤切除术患者住院费用影响因素的分析，为制定临床路径，控制医疗费用的不合理增长提供参考。方法收集南通市某三甲医院2008-2009年实施经蝶垂体瘤切除术患者的住院资料，采用线性回归分析获取影响住院费用的因素。结果药费、术中耗材费、检查费、住院总时问是影响经蝶垂体瘤切除术患者住院费用的主要因素。结论避免过度医疗，合理降低药费、术中耗材费、检查费，缩短住院天数是控制经蝶垂体瘤切除术患者住院费用过快增长的关键。Objective To analyze the main factors that influence the hospitalization expenses in patients undergone transsphenoidal pituitary tumor resection so as to provide basis for the development of clinical pathways and the control of irrational increase in medical expenses. Methods Data of patients undergone transsphenoidal pituitary tumor resection in our hospital in the years of 2008 and 2009 was collected. Statistical analysis was performed by using multinomial linear regression analysis. Results The major factors influencing the hospitalization expenses in patients undergone transsphenoidal pituitary tumor resection included drug fees, material fees in operation, inspection fees and length of stay. Conclusions Avoiding overtreatment, reasonably lowering the drug fees, material fees in operation and inspection fees, as well as reducing the length of stay were the key to the control of the excessive growth of hospitalization expenses in patients undergone transsphenoidal pituitary tumor resection.

关 键 词：垂体瘤 住院医疗费用 影响因素 

分 类 号：R197.3[医药卫生—卫生事业管理] R736.4[医药卫生—公共卫生与预防医学]