基于灰色关联分析与结构变动度的颌面部畸形患者住院费用构成分析  

Analysis on the Composition of Hospitalization Expenses of Patients with Maxillofacial Deformities Based on Grey Correlation and Structural Variation Analysis

作　　者：刘嘉欣 金鑫[2] 钟小钢 严立 龙惠青 杨璐 刘利[4] Liu Jiaxin;Jin Xin;Zhong Xiaogang;Yan Li;Long Huiqing;Yang Lu;Liu Li(Department of Dermatological,University-Town Hospital of Chongqing Medical University,Chongqing 401331,China;不详)

机构地区：[1]重庆医科大学附属大学城医院皮肤科,重庆市401331 [2]重庆医科大学附属口腔医院,重庆市401147 [3]重庆医科大学附属第一医院,重庆市400042 [4]重庆医科大学公共卫生与管理学院,重庆市400016

出　　处：《中国病案》2024年第2期44-48,共5页Chinese Medical Record

基　　金：重庆市教科委人文社科研究项目(22SKGH070);国家自然科学基金(81870775)。

摘　　要：目的 分析颌面部畸形患者住院费用构成及影响因素,为有效控制患者的住院费用及减轻疾病经济负担提供依据。方法 选取重庆市某三级甲等口腔医院2014年1月1日-2021年12月31日出院的533例颌面部畸形患者住院费用明细,利用灰色关联分析法和结构变动度法分析患者住院各项费用的关联度程度、结构占比及变动情况。结果 2014年-2021年次均住院费用年均增长率为3.35%,其中护理费年均增长率最高,为10.82%。患者的次均住院费用四分位数为68 875.6(53 757.16, 78 567.39)元,其中手术治疗费占比最高,为56.41%。灰色关联分析结果显示关联系数最高的是手术治疗费(0.8964)。结构变动度分析结果显示结构变动值最大的是手术治疗费(0.1592),且呈上升趋势;结构贡献率最高的是手术治疗费(47.22%)、耗材费(41.26%),医疗服务费、治疗操作费、护理费、诊断项目费和非手术治疗费的贡献率较小,合计5.9%。结论 手术治疗费和耗材费是患者次均住院费用最主要的影响因素,但目前存在耗材费占比过高,技术劳务性项目收费过低的问题,建议适当降低耗材费,合理提高技术劳务性项目费用比例。Objectives To analyze the composition and influencing factors of hospitalization expenses for patients with maxillofacial deformities,in order to provide evidence for effectively controlling the hospitalization expenses of patients and reducing the economic burden of diseases.Methods The details of hospitalization expenses of 533 patients with maxillofacial deformities in a Three A and Tertiary Stomatology Hospital in Chongqing from January 1st,2014 to December 31st,2021 were collected,and the correlation,structural variability and contribution rate of each patient's inpatient costs were analyzed using the gray correlation and structural variation analysis.Results The average annual growth rate of hospitalization expenses from 2014 to 2021 was 3.35%,with the nursing expenses having the highest annual growth rate of 10.82%.The quartile of the average hospitalization expense of per patient was 68875.6(53757.16,78567.39)yuan,with the highest proportion being the surgical treatment expense,accounting for 56.41%.The grey correlation analysis showed that the highest correlation coefficient was the surgical treatment expense(0.8964).The results of the structural change analysis showed that the structure with the greatest variability was the surgical treatment expense(0.1592),and it showed an upward trend;the highest structure contribution rate was from the surgical treatment expenses(47.22%)and consumables expenses(41.26%),with the contribution rates of medical service expense,treatment operation expense,nursing expense,diagnostic project expense,and non-surgical treatment expense being relatively small,totaling 5.9%.Conclusions The surgical treatment fee and consumables expense were the most influential factors of patients'average hospitalization expense,but there was currently an issue of overly high proportion of consumables expense and excessively low technical labor project expenses.It was suggested to appropriately reduce the consumables expense and reasonably increase the proportion of technical labor project exp

关 键 词：颌面部畸形 灰色关联度 结构变动度 住院费用 经济负担 

分 类 号：R197.32[医药卫生—卫生事业管理]