1298例肺炎患儿住院费用比较及中药使用效益分析  

Comparison on Hospitalization Costs and Benefit Analysis on Chinese Medicine Application of 1 298 Pneumonia Cases

作　　者：王雪峰[1] 刘建平[2] 申昆玲[3] 马融[4] 崔振泽[5] 邓力[6] 尚云晓[7] 李燕宁[8] 孙轶秋[9] 姜之炎[10] 许华[11] 赵德玉[12] 王立波[13] 万丽雅[12] 吴振起[1] 刘兆兰[2] 胡英惠[3] 黄燕[5] 何春卉[6] 刘华[11] 魏巍[1] 

机构地区：[1]辽宁中医药大学附属医院,沈阳110032 [2]北京中医药大学循证医学中心,北京100029 [3]首都医科大学附属北京儿童医院,北京100045 [4]天津中医药大学第一附属医院,天津300193 [5]大连医科大学附属儿童医院,大连116023 [6]广州医学院附属儿童医院,广州510120 [7]中国医科大学盛京医院,沈阳110004 [8]山东中医药大学附属医院,济南250011 [9]江苏省中医院,南京210029 [10]上海中医药大学附属龙华医院,上海200032 [11]广州中医药大学第一附属医院,广州510405 [12]天津市儿童医院,天津300074 [13]上海复旦大学附属儿科医院,上海201102

出　　处：《世界科学技术-中医药现代化》2013年第5期994-1001,共8页Modernization of Traditional Chinese Medicine and Materia Medica-World Science and Technology

基　　金：国家中医药管理局国家临床研究基地重点病种项目(JDZX2012098):国家重点病种小儿肺炎临床研究,负责人:王雪峰

摘　　要：目的：对比不同地域、不同类别医院肺炎患儿住院费用情况，统计中药使用情况对住院费用及住院时间的影响。方法：对全国13家分中心的肺炎患儿进行回顾性资料提取，按南北地域及医院类别进行分组，比较各组问的住院费用情况；按中药使用情况进行分组，比较各组间住院费用及住院时间情况，评价多途径使用中药带来的经济、时间效益。结果：地域比较中，南方医院在住院费用、住院时间、药物费用、检查费用上均比北方少；中西医比较中，中医院在住院费用、住院时间、药物费用、检查费用上均比西医院少。3种途径（口服、静脉、外用）使用中药组在住院费用、药物费用、检查费用上均小于完全西医治疗组及1～2种途径使用中药组，但其住院时间较长。结论：多途径使用中药治疗可以降低住院费用，但住院时间较长。This study was aimed to compare the situation of pneumonia hospitalization costs in different regions, different types of hospital, and the influence on the hospitalization cost and length with the using of Chinese medicine. Retrospectively data of pneumonia children from 13 sub-centers across the country were extracted. Cases were grouped according to geographic north and south, and the hospital types in order to compare the hospitalization cost situation in each group. Cases were also grouped according to the application of Chinese medicine in order to compare the hospitalization cost and length situation in order to evaluate economic and time efficient brought by multi-route application of Chinese medicine in each group. The results showed that the hospitalization costs, hospitalization length, drug costs, inspection fees of the southern regions were less than the northern regions. The hospitalization costs, hospitalization length, drug costs, inspection fees of Chinese medicine hospitals were less than modern medicine hospitals. The hospitalization costs, drug costs and inspection fees of three administration route （i.e., oral, intravenous, topical） of the Chinese medicine group were less than modern medicine treatment group and Chinese medicine group with one or two administration routes. However, the hospitalization length was relatively longer. It was concluded that multi-route application of Chinese medicine can reduce the hospitalization cost. However, the hospitalization length is relatively longer.

关 键 词：小儿肺炎 住院费用 中药使用 效益 

分 类 号：R725.6[医药卫生—儿科]