军队某三甲医院近10年军人结核病住院费用与住院日分析  

Analysis on the hospitalization expenses and days of military personnel with tuberculosis in a Grade-3 and Class-A military hospital in recent 10 years

作　　者：商斌[1] 谭志军[1] 尚磊[1] 梁英[1] 潘峰[1] 徐勇勇[1] 

机构地区：[1]第四军医大学卫生统计学教研室,西安710032

出　　处：《西南国防医药》2017年第3期224-227,共4页Medical Journal of National Defending Forces in Southwest China

基　　金：国家自然科学基金面上资助项目(81573250)

摘　　要：目的分析军队某三甲医院近10年军人结核病患者住院费用和住院日,为军人结核病住院费用与住院日控制提供参考依据。方法从医院信息系统提取2006年1月~2015年12月份住院并接受治疗的1430例军人结核病病例资料,采用描述性方法、Kruskal-Wallis检验法分析住院费用与住院日现状、变化趋势以及影响因素,采用边际费用法确定结核病住院日标准。结果 2006~2015年平均住院日呈现下降,而平均住院费用呈上升趋势。对2013~2015年342例结核病患者的分析结果显示,结核病患者住院日中位数为15 d,医疗费用中位数为8501元。边际成本法的分析建议部队结核病住院日标准设定为24 d。结论军人结核病患者住院日逐渐降低而住院费用不断升高,反映了医疗技术的不断进步和住院管理效率的不断提高,但也面临医疗成本不断增加的压力。从成本效益的角度,建议军人结核病标准住院日定在24 d,有助于控制住院费用与住院日。Objective To analyze the hospitalization expenses and days of military personnel with tuberculosis in a Grade-3 and Class-A military hospital in recent 10 years in order to provide reference basis for the control over hospitalization expenses and days of military personnel. Methods The data on 1430 military persons who suffered from tuberculosis and received treatment in our hospital from Jan. 2006 to Dec. 2015 were drawn from the information system of the hospital. The status quo, trend, and influencing factors for the hospitalization expenses and days were described and Kruskal-Wallis tests were made for analysis, and marginal cost method was adopted for determining the standards for the hospitalization expenses and days. Results The average hospitalization days decreased in 2006-2015, but the average hospitalization expenses increased. The analysis on the 342 hospitalized patients with tuberculosis from 2013 to 2015 showed that the median length of hospitalization was 15 days, with the median expenses of CNY 8501. The marginal cost method suggested that the standard hospitalization days for the patients with tuberculosis were specified as 24 days.Conclusion The decrease in hospitalization days and increase in hospitalization expenses for the military personnel with tuberculosis showed the progress in medical technology and the improvement of hospital management efficiency, but the pressure on health care costs also occurs. From the viewpoint of cost and benefit, it is suggested that the standard hospitalization days for the military personnel with tuberculosis should be set as 24 days, which is helpful for controlling the hospitalization expenses and hospitalization days.

关 键 词：结核病 部队医院 住院费用 住院日 住院日标准 军人 

分 类 号：R19[医药卫生—卫生事业管理]