2009-2011年深圳南山区伤害住院病例类型及住院费用分析  

Analysis on the hospitalization expenses for injury inpatients from 2009 to 2011 in Nanshan Shenzhen

作　　者：赵丹 陈忠伟 马剑平 

机构地区：[1]深圳市南山区慢性病防治院,广东深圳518054

出　　处：《现代预防医学》2015年第10期1794-1796,1808,共4页Modern Preventive Medicine

摘　　要：目的了解深圳市南山区伤害住院病例的损伤部位及费用变化。方法采取整群抽样的方法,抽取南山区某综合医院2009-2011年伤害住院病例病案,进行损伤部位、平均住院天数、平均住院费用等的分析。结果 2009-2011年共有伤害住院病例9 927例,伤害损伤部位前3位依次为上肢(25.47%)、下肢(20.86%)、头部(18.13%)。不同年份伤害住院病例伤害部位分布差异有统计学意义(χ2=96.620,P<0.05)。3年间伤害住院病例人均住院费用平均增长速度为3.22%;日均住院费用平均增长速度为9.98%;平均住院天数平均下降速度为5.41%。不同年份伤害住院病例住院费用构成差异无统计学意义。药费平均下降速度为9.04%,治疗费平均增长速度17.38%,检验费平均增长速度6.82%。结论伤害给住院病例造成的直接经济负担呈上升趋势,除有效控制药费、治疗费、检查费等费用外,预防和减少伤害的发生是减轻伤害疾病负担的关键。Objective The aim of this study was to explore the injury location for injury inpatients and hospitalization expenses in Shenzhen Nanshan, in order to provide basis for the government policy in future. Methods With the method of cluster sampling,injury cases from 2009 to 2011 with hospitalization data from Shenzhen Nanshan hospital were collected. SPSS were used to analyze the injury location, hospitalization time and hospitalization expenses for injury inpatients. Results There were 9927 injury inpatients from 2009 to 2011. The top three locations of injury were arms（25.47%）, legs（20.86%） and head（18.13%）. Different distributions of injury locations were found in different years（χ^2=96.620, P〈0.05）. The average expenses per capita increased 3.22%. The average expenses per day increased 9.98%. The average hospitalization days dropped 5.41%. The medication expenses dropped 9.04%. The expenses of therapy and examination increased 17.38% and 6.82% respectively. Conclusion The heavy economic burden of injury was increasing. It is necessary to control the expenses of medication, therapy, examination and so on. Preventing and controlling injury was the key to lighten the disease burden.

关 键 词：伤害 住院病例 住院费用 

分 类 号：R195[医药卫生—卫生统计学]