北京某三甲医院5426例住院患者费用状况及欠费影响因素分析  

Analysis of 5426 inpatients’ expenses and influencing factors of arrears in a Grade Ⅲ Level A hospital in Beijing

作　　者：毕春梅[1] 刘英梅[2] 董杰 董立友[1] BI Chunmei;LIU Yingmei;DONG Jie;DONG Liyou(China-Japan Friendship Hospital,Beijing,100029,PRC)

机构地区：[1]中日友好医院,北京市100029 [2]中日友好医院财务处成本办

出　　处：《中国医院》2022年第9期53-55,共3页Chinese Hospitals

摘　　要：目的:分析北京某三甲医院住院患者费用状况及欠费影响因素,为大型公立医院加强住院患者费用管理提供参考。方法:分析2012-2020年北京某三甲医院5426例住院患者费用相关信息。对患者医保类型、入院途径、住院科室、患者性别、预交金比例等进行分析,通过卡方检验和logistic回归进行分析,研究住院欠费发生的主要影响因素。结果:5426例住院患者中,欠费患者占比为7.9%,重症监护室患者相较于内科、外科、中医科室等普通科室患者,发生欠费的几率大;医疗保险对于降低患者欠费有明显作用;年龄为51~60岁、61~70岁、71~80岁、81~90岁的患者欠费风险较其他年龄段低;从入院途径看,相较于转院入院的患者,由急诊、急抢入院、门诊入院和日间治疗的患者发生欠费的风险较低。结论:应关注住院患者欠费的影响因素,针对性采取预防措施,加强住院费用管理。Objective:To analyze the current situation and influencing factors of inpatient expenses in a third-level grade-A hospital in Beijing,and to provide basis for large public medical institutions to strengthen the management of inpatient expenses.Methods:Analyze the expense information of 5426 inpatients in a third-level grade-A hospital in Beijing from 2012 to 2020.According to whether the patient is in arrears,patients were divided into two groups:no arrears group(n=4995)and arrears group(n=431),The two groups were compared in terms of medical insurance type,admission route,inpatient department,advance deposit,hospitalization expenses and amount in arrearsand so on,univariate analysis was performed,then multivariate logistic regression analysis was conducted on the factors with statistically significant differences inunivariate analysis to obtain main influencing factors of theinpatientarrears.Results:Among the 5426 inpatients,7.9%of inpatients were in arrears,Compared with patients in general departments such as internal medicine,surgery and traditional Chinese medicine,patients in ICU have a greater probability of arrearage;Medical insurance plays a significant role in reducing patients'arrears;Patients aged 51~60,61~70,71~80,81~90 years old have a lower risk of arrearage than other age groups;From the perspective of admission route,compared with patients transferred to hospital,patients from emergency department,emergency hospital,outpatient hospital and day treatment have a lower risk of arrearage.Conclusions:More attention should paid to the types of medical insurance of inpatients,and strengthen the management of inpatients expenses of different age groups with different types of medical insurance.

关 键 词：公立医院 住院患者 费用管理 

分 类 号：R195[医药卫生—卫生统计学]