广西省级综合医院住院费用现状及影响因素分析  

Study on Hospital Expenditure and Influence Factors of Provincial General Hospitals in Guangxi Province

作　　者：范玉铮[1] 吕炜 王勇[3] 耿文奎[1] 黄丽华[1] 张杰[1] 李彬[4] 李俭 李超云 赵捷 陈伟雄[5] 谢建光 

机构地区：[1]广西壮族自治区疾病预防控制中心,530028 [2]广西卫生统计信息中心,530021 [3]广西壮族自治区卫生厅,530021 [4]广西壮族自治区江滨医院,530021 [5]广西北流市疾病预防控制中心,537400

出　　处：《中国卫生统计》2014年第1期61-63,共3页Chinese Journal of Health Statistics

基　　金：广西卫生厅重大课题(合同编号:重2012076)

摘　　要：目的通过对广西省级综合医院2011年出院患者费用分析,了解住院费用特征及其影响因素,为政府和卫生部门控制高级别医院医疗费用过快增长、推进新医改进程、解决群众"看病难、看病贵"问题提供数据支撑和决策依据。方法收集2011年广西省级综合医院住院病例153 234例,采用描述性方法分析住院患者费用特征,采用多重线性回归分析影响住院费用的因素。结果广西省级综合医院住院患者的重点人群是中老年人,重点疾病是慢性非传染性疾病。住院费用昂贵、药费比例过高、劳务性医疗服务项目的费用比例较低现象严重。影响住院费用的主要因素是:住院天数、手术、年龄、入院情况、性别、输血、转科、院内感染、治疗结果、婚姻状况、医疗付款方式。结论住院费用受患者社会特征、临床特征和医院管理因素等多方面因素影响,因此住院费用的控制必须采取综合措施,以控制可控因素为突破口,加强对其的科学管理,同时对非可控因素进行规范和转化。Objective This article was to focus on the component of hospitalization expense and its influencing factors among all patients of provincial general hospitals of Guangxi in 2011, in order to provide government and health departments with basis to control unreasonable increase of medical costs, solve the problem of inadequate and overly expensive medical serv- ices ,promote the new medical reform process, Methods Information of 153234 cases of hospitalized patients from tertiary mu- nicipal hospitals of Guangxi was collected and SPSS19.0 statistics software package was used to analyze the structure of medical costs and main contributors related to medical costs. Results Through analysis, we found that most of the hospitalized patients were older adults, the leading cause of hospitalization for patients was chronic non-communicable diseases. The phenomenon of rising medical costs of hospitals was still exists, the largest cost share was the drugs, the total cost of hospitalization was related to the following factors ： days of hospitalization, operation situations, age, admission condition, gender, blood transfusions situa- tions, switch departments, hospital-acquired infections, efficacy, marriage, payment methods. Conclusion Multiple factors influ- enced the hospitalization expense,both the sociological factors and clinical ones. Therefore,we must take comprehensive meas- ures to control hospital costs, we should take controllable factors as a breakthrough, to strengthen scientific management, to regu- late and conversion of non-controllable factors.

关 键 词：住院费用 费用构成 影响因素 

分 类 号：R197.3[医药卫生—卫生事业管理]