剖宫产手术住院费用构成及影响因素分析  

Study on the Hospitalization Costs Composition of Caesarean Section Operations and Influential Factors Analysis

作　　者：袁继梅[1] 张宁[1] 

机构地区：[1]首都医科大学附属北京妇产医院医保办,北京市100026

出　　处：《中国病案》2015年第5期42-44,共3页Chinese Medical Record

摘　　要：目的分析剖宫产手术患者住院费用的构成和影响因素,探索控制医疗费用的合理办法。方法收集某院2014年1月-6月期间出院的剖宫产手术患者1736例,采用描述性分析、T检验、方差分析及多元线性回归方法,分析剖宫产手术的住院费用构成及其影响因素。结果构成剖宫产手术住院总费用中药品费比例最高(35.72%)、材料费次之(29.28%);影响住院费用的主要因素依次是住院天数、结算方式、药占比、材料占比、胎儿数量、主要诊断。结论调整医疗收费结构,加大政府投入,改革医保支付方式,加强医院管理,以控制医疗费用。Objectives To analyze the hospitalization costs composition of patients with caesarean section operations and the influential factors, and explore the reasonable measures for controlling medical costs. Methods 1736 cases of discharged patients with caesarean section operations were collected from January to June 2014 of the hospital, then analyzed the hospitalization costs composition and the influential factors with the application of descriptive analysis, T test, ANOVA and multiple linear regression methods. Results The highest percent of hospitalization costs was drug costs （35.72%）, the second was material costs （29. 28%）. The mainly influential factors were respectively length of stay, payment methods, the ratio of drug costs, medical material proportion, the number of＇fetus and the main diagnosis. Conclusions we should adjust the medical charge structure, increase government input, reform medical insurance payment methods and strengthen the management of hospital so as to control medical treatment costs.

关 键 词：剖宫产手术 住院费用 影响因素 

分 类 号：R197.3[医药卫生—卫生事业管理]