基于混合线性模型的广西某市县级医院住院费用影响因素研究  

Research on affecting factors of hospitalization expenses in county hospitals from one city of Guangxi based on mixed linear model

作　　者：杨博 郭宇莎 于雪婷 何崇伟 韦征 黄高明[1] Yang Bo;Guo Yusha;Yu Xueting;He Chongwei;Wei Zheng;Huang Gaoming(School of Public Health of Guangxi Medical University,Nanning 530021 Guangxi,China　;School of Public Health and Management of Guangxi University of Chinese Medicine,Nanning 530200 Guangxi,China)

机构地区：[1]广西医科大学公共卫生学院,广西南宁530021 [2]广西中医药大学公共卫生与管理学院,广西南宁530200

出　　处：《右江民族医学院学报》2018年第1期65-68,共4页Journal of Youjiang Medical University for Nationalities

基　　金：广西壮族自治区卫生厅重点科研项目(桂卫重2011133)

摘　　要：目的应用混合线性模型分析广西某市县级医疗机构医疗费用的影响因素,探索住院医疗费用分析新模式。方法采用SPSS 23.0软件对2016年52 112名在广西某市县级医院住院的患者的住院费用进行描述性分析和多水平混合线性模型的影响因素分析。结果医院地域、经济类型、机构类别以及患者付款方式、性别、年龄、是否有合并症或并发症、是否为手术患者、是否为异地患者、住院时间等与患者医疗费用有关。结论多水平混合线性模型可用于多水平结构数据分析。Objective To analyze the affecting factors of medical expenses in county medical institutions from one city of Guangxi by using mixed linear model and explore the new model for hospitalization medical cost analysis. Methods SPSS 23.0 was used to carry out descriptive analysis and multilevel mixed linear model analysis of influence factors of medical costs from 52112 patients who were hospitalized at county hospitals from one city of Guangxi in 2016. Results Hospital location,economic types of hospital,hospital category,medical payment methods,gender,age,complications,operations,allopatry,hospital duration were related to patients’medical costs. Conclusion The multilevel mixed linear model can be used for the multilevel structure data analysis.

关 键 词：医疗费用 影响因素 混合线性模型 

分 类 号：R191.1[医药卫生—卫生事业管理]