新生儿病房医院感染的直接经济损失分析  

Analysis on Direct Economic Loss of Hospital Infection in Neonatal Ward

作　　者：程莉莉[1] 张秀月[1] 毛健[1] 姜红[1] 崔影双 金盈月 张成普[1] CHENG Li-li;ZHANG Xiu-yue;MAO Jian;JIANG Hong;CUI Ying-shuang;JIN Ying-yue;ZHANG Cheng-pu(Shengjing Hospital of China Medical University,Shenyang 110004,China)

机构地区：[1]中国医科大学附属盛京医院,沈阳市110004

出　　处：《现代医院管理》2019年第2期24-27,共4页Modern Hospital Management

摘　　要：目的了解新生儿病房医院感染造成的经济损失。方法回顾性分析某三级甲等综合医院新生儿病房2017年7月1日至2018年2月28日出院患者,采用1∶1配对的方法,比较发生医院感染和非医院感染患儿的直接医疗费用。结果试验组住院时间中位数(M)为40. 0 d,对照组住院时间(M)为29. 0 d,试验组比对照组住院时间(M)延长10. 0 d(P <0. 05);试验组总住院费用(M)为73 249. 5元,对照组住院总费用(M)为43 280. 2元,试验组比对照组多支出费用(M) 31 484. 8元(P <0. 01);住院费用分项中,除外影像费和处置费,试验组的其余分项费用均高于对照组(P <0. 05);体质量≤1 000 g组和1 001～1 500 g组,试验组住院时间高于对照组(P <0. 05);体质量1 001～1 500 g组,试验组住院总费用高于对照组(P <0. 05)。结论新生儿病房医院感染增加了医疗成本,延长了患者的住院时间,给医院和患者均造成较大的经济损失,加强新生儿尤其是低出生体质量患儿的医院感染防控工作,降低因医院感染导致的直接经济损失。Objective: To understand the economic loss caused by hospital infection in neonatal ward. Methods:A retrospective analysis was performed on the patients admitted to the neonatal ward of a comprehensive Hospital of Class A Grade Three from July 1,2017 to February 28,2018.The direct medical expenses of children with hospital infection and those without were compared with 1:1 matching method. Results:The hospitalization time(M ) of the experimental group was 40.0 d,and that of the control group was 29.0 d.The hospitalization time of the experimental group was 10.0 d longer than that of the control group (M )(P<0.05).The total hospitalization cost (M ) of the experimental group was 73,249.5 yuan,while the total cost (M ) of the control group was 43,280.2 yuan.In the itemized hospitalization expenses,except the imaging fees and disposal fees,the other itemized expenses of the experimental group were higher than those of the control group (P<0.05).The hospitalization time of the experimental group was longer than that of the control group in the ≤1 000 g weight group (P<0.05),the total hospitalization cost of the experimental group was higher than that of the control group in the ≤1 000 g weight group and 1 001~1 500 g weight group (P<0.05). Conclusion:Hospital infection in neonatal ward increases medical cost,prolongs hospitalization time of patients,and causes great economic losses to both hospitals and patients.Therefore,it is necessary to strengthen the prevention and control of hospital infection in neonates,especially low birth weight infants,and reduce the direct economic losses caused by hospital infection.

关 键 词：新生儿病房 医院感染 经济损失 

分 类 号：R197[医药卫生—卫生事业管理]