安徽省某三甲医院肺炎患者住院费用影响因素分析  

Analysis of patients hospital expenses with pneumonia and the influencing factors in certain tertiary hospital in Anhui province

作　　者：范冬冬[1] 苏虹[1] 彭美玲[1] 单晓伟[1] 韩琴[1] 王忱诚[1] 林雪萍[2] 

机构地区：[1]安徽医科大学公共卫生学院流行病与卫生统计学系,合肥230032 [2]安徽医科大学07临床医学七年制,合肥230032

出　　处：《安徽医科大学学报》2012年第6期716-719,共4页Acta Universitatis Medicinalis Anhui

基　　金：安徽医科大学临床七年制学生“科研训练计划”项目(编号:2011-ZQKY-04)

摘　　要：目的探讨影响肺炎患者住院费用的因素,为合理控制医疗费用过快增长提供参考。方法调查某三甲医院的2 808例肺炎住院患者病例资料,数据采用单因素非参数分析及设置哑变量行多元逐步回归分析来探讨影响肺炎患者住院费用的主要因素。结果肺炎患者的住院费用呈逐年上升趋势,费用结构中药费所占比重较大,占52.01%。单因素分析结果表明:住院费用与肺炎患者住院日、医疗费支付方式、病情严重程度、诊疗质量有关。多因素线性回归分析结果显示:住院日是影响住院费用的首要因素。结论控制医疗费用的不合理增长应从合理控制药费和住院日着手。Objective To discuss the influencing factors of hospital expenses for pneumonia, and to provide a reference to rational control of faster increase of medical care fee. Methods The medical record of 2 808 patients with pneumonia in certain tertiary hospital were collected. Nonparametric test and multivariate regression analysis by Dummy Variable were performed to analyze the main influencing factors of hospitalization costs on pneumonia. Results Hospitalization expenses of patients with pneumonia were arising year by year, among the medical care costs, medication accounted for a major proportion, which was 52. 01%. The rank sum test showed that hospitalization duration, model of payment, disease condition, diagnosis and treatment quality were correlative factors of medical expenses. Multiple regression linear analysis indicated that hospitalization duration was the top influencing factor for inpatient costs. Conclusion In order to control inpatient expenditure, reducing drug cost and hospitalization duration should be conducted.

关 键 词：肺炎 单病种 住院费用 影响因素 

分 类 号：R563.1[医药卫生—呼吸系统] R195.4[医药卫生—内科学]