肺栓塞患者住院费用构成分析及影响因素研究  

Study on the Composition and Influential Factors of Hospitalization Charges among Patients with Pulmonary Embolism

作　　者：郭腾飞 余启萍 郑慧玲 周欣[1] 刘伟[2] Guo Tengfei;Yu Qiping;Zheng Huiling;Zhou Xin;Liu Wei(Department of Medical Record,Yichang Central People’s Hospital,The First College of Clinical Medical Science,China Three Gorges University,Yichang 443003,China;Institute of Digestive Disease,China Three Gorges University,Yichang 443003,China)

机构地区：[1]三峡大学第一临床医学院[宜昌市中心人民医院]病案科,湖北宜昌443003 [2]三峡大学消化疾病研究所,湖北宜昌443003

出　　处：《巴楚医学》2022年第2期78-81,共4页Bachu Medical Journal

基　　金：国家自然科学基金项目(No:31600134)。

摘　　要：目的:分析肺栓塞患者住院费用及其影响因素,提出合理控制医疗费用的方法。方法:收集2015~2019年某公立三甲医院肺栓塞住院病例236例,采用描述性分析、多元回归分析等方法探索肺栓塞患者的住院费用构成特点及影响因素。结果:肺栓塞患者住院费用呈上升趋势,住院天数、介入治疗、转科、重症监护和感染均可影响肺栓塞患者的住院费用(均P<0.05),其中住院天数和介入治疗是主要影响因素(均P<0.05)。结论:建议推行临床路径管理以规范诊疗行为并优化诊疗流程,缩短平均住院日从而合理控制医疗费用。Objective: To analyze the composition and influential factors of hospitalization charges among patients with pulmonary embolism and to provide reference for medical expenses control. Methods: There were 236 pulmonary embolism patients were collected from a public tertiary hospital from 2015 to 2019. The composition of hospitalization charges and influential factors were analyzed by descriptive analysis and multiple regressions analysis. Results: Hospitalization charges among pulmonary embolism patients were increasing. The medical expense was associated with many factors, including length of stay, interventional therapy, department transference, admission of intensive care unit and infection(all P<0.05). The length of stay and interventional therapy were the main influential factors(both P<0.05). Conclusion: Clinical pathway management should be used to shorten average hospitalization days by standardizing treatment and optimizing therapeutic processes, so as to control hospitalization charges.

关 键 词：肺栓塞 住院费用 平均住院日 

分 类 号：R563.5[医药卫生—呼吸系统]