骨折患者住院费用构成的因子分析  

Factor analysis of the composition of hospitalization expenses of fracture patients

作　　者：温东兰 Wen Donglan(Information Statistics Division in Shatian Hospital of Dongguan,Dongguan 523980,China)

机构地区：[1]东莞市沙田医院信息统计科,523980

出　　处：《中国医院统计》2018年第6期423-425,共3页Chinese Journal of Hospital Statistics

摘　　要：目的探讨某院骨折住院患者费用构成的主要影响因子,为减轻患者经济负担、评价医疗费用合理性、有效控制医疗费用提供参考依据,为单病种付费、DRGS应用奠定坚实的基础。方法调取某院统计病案管理系统2014年1月1日至2016年12月31日2 656例骨折患者的住院费用为样本,使用SPSS 22. 0软件进行数据录入和主成分分析、因子分析,对各项住院费用进行统计分析。结果本次调查住院费用构成中,西药费占18. 74%,中药费占5. 01%,综合医疗服务费占22. 50%,诊断费占19. 87%,治疗费占12. 84%,康复费占1. 06%,中医治疗费占1. 22%,血液和血制品费占1. 25%,耗材费占17. 50%。影响骨折患者住院费用的公因子有3个,分别命名为诊疗费因子、治疗费因子、中医费因子。结论控制诊疗费、治疗费、中医康复费是控制骨折患者医疗费用的关键。Objective To explore the main influencing factors of the cost of hospitalized patients with fractures in a hospital,to provide some reference basis for reducing the financial burden of patients,evaluating the rationality of medical expenses,effectively controlling medical expenses,and to lay a solid foundation for paying for single disease and applying DRGS.Methods The inpatient expenses of 2 656 fracture patients in a hospital's statistical medical record management system were collected as samples from January 1,2014,to December 31,2016.SPSS 22.0 software was used for data entry,principal component and factor analysis,and various inpatient expenses were statistically analyzed and studied.Results Among the hospitalization expenses in this survey,western medicine expenses accounted for 18.74%,Chinese medicine expenses 5.01%,comprehensive medical service fees 22.50%,diagnosis expenses 19.87%,treatment expenses 12.84%,rehabilitation expenses 1.06%,traditional Chinese medicine treatment expenses 1.22%,blood and blood product expenses 1.25%,and consumable expenses 17.50%.There were three common factors affecting the hospitalization cost of fracture patients,which were named as diagnosis cost factor,treatment cost factor and traditional Chinese medicine cost factor.Conclusion To control the costs of diagnosis and treatment and traditional Chinese medicine rehabilitation is the key to controlling the medical cost of fracture patients.

关 键 词：骨折患者 住院费用 主成分分析 因子分析 

分 类 号：R197.32[医药卫生—卫生事业管理]