不同级别医疗机构分娩方式的构成及其成本分析  

Composition and Cost Analysis of Delivery Ways in Medical Institutios of Different Levels

作　　者：程兆辉[1] 陶红兵[1] 周俊[1] 张汝柠[1] 舒琴[1] 

机构地区：[1]华中科技大学同济医学院医药卫生管理学院,武汉430030

出　　处：《中国卫生经济》2013年第3期86-88,共3页Chinese Health Economics

基　　金：国家自然科学基金面上项目(71173081)

摘　　要：目的:探讨不同级别医疗机构分娩方式的构成及其成本差异。方法:选取2011年北京地区17家医院住院分娩产妇的病历首页信息,分析剖宫产率,并根据医疗机构的不同级别将剖宫产与阴道分娩的住院费用、住院天数、日均费用进行比较分析。结果:⑴33 468名产妇的剖宫产率为58.51%,二级医院剖宫产率高于三级医院;⑵二级医院剖宫产及阴道分娩的住院费用、住院天数高于三级医院,日均费用低于三级医院;⑶剖宫产的分娩费用高于阴道分娩,规范剖宫产手术指征适用范围,减少非必需的剖宫产,将大大减少产妇的住院费用。结论:严格不同分娩方式指征的适用范围,加强对产妇选择阴道分娩的正确引导,降低剖宫产率,将大量节省医疗资源,提高医院产科的床位利用效率。Objective： To explore the composition and costs difference of delivery ways in different levels medical institution. Methods： Selecting 17 hospitals＇ maternity medical information in Beijing area in 2011, analyzing the cesarean section rate, and comparing the inpatient expenditure, inpatient days, average daily costs between cesarean section and vaginal delivery according to different levels medical institution. Results： （1） Cesarean section rate is 58.51%, secondary hospitals＇ cesarean section rate is higher than tertiary hospitals＇ ; （2） Secondary hospitals＇ delivery costs and inpatient days are higher than tertiary hospitals＇ , but average daily costs is lower; （3） Cesarean section costs more than vaginal delivery, Regulating the indication scope of cesarean section and reducing non-essential cesarean section will greatly reduce the hospitalization costs. Conclusion： Regulating the application scope of different delivery ways and strengthening the correct guidance will reduce the cesarean section rate, save a lot of heahheare resources and improve the utilization efficiency of bed in hospital.

关 键 词：剖宫产 阴道分娩 剖宫产率 住院费用 

分 类 号：R197.3[医药卫生—卫生事业管理]