昆明市伤害住院费用及影响因素分析  

ANALYSIS OF MEDICAL CHARGE OF INPATIENTS WITH INJURIES AND INFLUENCING FACTORS

作　　者：李静[1] 何建辉[1] 刘苹[1] 隋维华[2] 

机构地区：[1]昆明医学院公共卫生学院,昆明650031 [2]昆明医学院第二附属医院

出　　处：《现代预防医学》2011年第18期3692-3694,共3页Modern Preventive Medicine

基　　金：昆明医学院创新群体基金(KMC2005DG05)

摘　　要：[目的]分析伤害住院病人的住院费用及影响因素。[方法]对云南省昆明市4所省级医院和3所市级医院2003～2007年5年间伤害住院的情况进行描述性分析,采用多元线性回归方法对影响住院费用的因素进行多因素分析。[结果]5年伤害住院例数占同期住院总数的比例分别为8.0%、8.7%、8.74%、8.0%和8.7%,呈轻微上升趋势;男女性别比5.02︰1,15～44岁年龄组占61.3%。人均住院费用为5915元,5年累计上涨幅度为3.05%;治疗费和检查费比例呈逐年下降趋势;影响伤害住院费用的因素主要有性别、年龄、民族、住院天数、有无手术、伤害类型、损伤部位、入院情况、出院转归和医院类别。[结论]伤害人均住院费用呈上升趋势;缩短平均住院天数有利于控制住院费用的上涨。[Objective]To examine the medical charge of inpatients with injuries in 7 hospitals of Kunming City and its influencing factors.[Methods]Descriptive,univariable and multivariable analyses（multiple linear regression）were conducted to analyze the medical charge of inpatients with injuries and possible influencing factors,and data were collected from 7 hospitals in Kunming during the period from 2003 to 2007.[Results]The ratio of injury inpatients accounted for total inpatients in the same period were 8.0%,8.7%,8.74%,8.0% and 8.7% from 2003 to 2007.The ratio of male to female was 5.02︰1,while the proportion of 15-44 age was 61.3%.During five years the medical charge per capita was 5 915 yuan,and the average medical charge increased（3.05%）during the five years,while curing and laboratory fees were decreased in the same time.The possible factors influencing medical charge included gender,age,hospitalization duration,operation,types of injuries,positions of injuries,conditions in admission,prognosis and levels of hospitals.[Conclusion]Medical charge of inpatients with injuries showed an increasing trend during the five years.Reducing hospitalization duration is helpful to control the rise of medical charge.

关 键 词：伤害 住院费用 影响因素 

分 类 号：R197.3[医药卫生—卫生事业管理]