基于临床路径的珠海市某医院单病种住院费用及其影响因素分析  

Hospitalization Expenses of Single Disease and its Influencing Factors Based on Clinical Pathway of a Hospital in Zhuhai

作　　者：崔俊宇[1] 梅文华[2] 陈美婷[1] 叶仲书 

机构地区：[1]暨南大学医学院医学统计教研室,广州510632 [2]珠海市人民医院,珠海519000

出　　处：《医学与社会》2014年第12期28-31,共4页Medicine and Society

基　　金：珠海市科技计划项目"区域医疗核心数字化医院建设";编号为2010B060102004

摘　　要：目的:了解珠海市某三甲综合医院实施临床路径治疗的6个单病种住院费用情况,探讨费用影响因素。方法:收集珠海市某三甲综合医院2012年1月-2013年12月6个单病种住院患者的临床路径数据,采用描述性分析、秩和检验分析、相关分析以及多元线性回归分析方法进行分析。结果:药品费、检查费、检验费、手术费是单病种住院费用的主要构成部分,住院天数是住院费用的主要影响因素。结论:医院要有效控制各项医疗费用比例,加强临床路径管理工作,缩短患者住院天数,降低患者医疗费用。Objective： To understand the hospitalization expenses of clinical pathway treatment of six single diseases and discuss the influen-cing factors of the hospitalization expense in a hospital in zhuhai.Methods：Collecting the data of clinical pathway with hospitalized patients of six single diseases in a certain third class hospital in Zhuhai from January 2012 to December 2013, by using the descriptive statistics, rank sum test, correlation analysis and multivariate linear regression.Results： The medicine fee, the examination fee, the inspection fee and the operation fee were the main structure of hospitalization expense.The major influencing factor was the length of stay.Conclusion： The hospital should lighten the medical expenses by controlling the ratio of the main medical fee, strengthening the management of clinical pathway and shortening the length of stays.

关 键 词：临床路径 单病种 住院费用 影响因素 

分 类 号：R197.322[医药卫生—卫生事业管理]