人工流产终止早期妊娠患者住院费用影响因素分析  

Analysis of influencing factors of hospitalization expenses in patients with early pregnancy terminated by induced abortion

作　　者：李翠玲[2] 张东峰[1] 胡晓娟 周锐 Li Cuiling;Zhang Dongfeng;Hu Xiaojuan;Zhou Rui(School of Public Health,Qingdao University,Qingdao 266071,China;不详)

机构地区：[1]青岛大学公共卫生学院,山东省青岛市266071 [2]淄博市妇幼保健院,山东省淄博市255000

出　　处：《中国病案》2023年第5期85-89,共5页Chinese Medical Record

摘　　要：目的分析人工流产终止早期妊娠患者住院费用影响因素,为合理控制医疗成本提供参考。方法收集山东省某院2019年1月1日-2022年7月31日出院的人工流产终止早期妊娠患者的相关信息,使用描述性分析、卡方检验、秩和检验和多元逐步回归分析等统计方法进行分析。结果住院费用呈持续下降趋势,中位数为3551.90元,年均增长率为-4.33%;药费呈波动上涨趋势,先下降后上升,2022年1月1日-2022年7月31日的年度环比增长率为31.69%。年龄、住院天数、孕周、有无合并症、流产类型、妊娠部位、医疗付费方式、孕次、产次、流次、麻醉方式、手术类型、出院年份等变量住院费用差异有统计学差异(P<0.05)。手术类型、麻醉方式、住院天数、妊娠部位影响住院费用(P<0.05)。结论药费控制力度不够,需要持续加强。可通过合理选择手术类型和麻醉方式,以及降低剖宫产率和科学减少住院天数,进一步降低住院费用。Objectives This study aims to analyze the influencing factors of hospitalization expenses for patients with early pregnancy terminated by induced abortion,so as to provide a reference for reasonable control of medical costs.Methods The relevant information of patients with early pregnancy terminated by induced abortion who were discharged from a hospital in Shandong Province from January 1,2019 to July 31,2022 was collected.Statistical methods such as descriptive analysis,chi-square test,rank sum test,and multiple stepwise regression analysis were used for analysis.Results Hospitalization expenses showed a continuous downward trend,with a median of 3551.90 yuan and an average annual growth rate of-4.33%.The cost of medicine showed a fluctuating upward trend,first falling and then rising,with an annual growth rate of 31.69%from January 1,2022 to July 31,2022.There were statistically significant differences in hospitalization expenses among variables such as age,length of hospital stay,gestational week,presence or absence of complications,type of abortion,pregnancy site,medical payment method,pregnancy number,parity number,flow time,anesthesia method,operation type,and year of discharge(P<0.05).The type of operation,the method of anesthesia,the length of hospitalization,and the location of pregnancy affected the hospitalization expenses(P<0.05).Conclusions Drug cost control is not enough and needs to be continuously strengthened.The cost of hospitalization can be further reduced by rationally selecting the type of operation and anesthesia,reducing the rate of cesarean section and scientifically reducing the number of days of hospitalization.

关 键 词：人工流产方式干预 早期妊娠 住院费用 影响因素 

分 类 号：R169.42[医药卫生—公共卫生与预防医学] R197.3