基于新灰色关联与结构变动度的抑郁症患者次均住院费用分析  

Average hospitalization costs per-time of patients with depression based on new grey correlation and degree of structural variation

作　　者：陈静静 师雯琦 陈晓东[2] 陈晓霞[1] 刘子锋[1] 邓淑敏 Chen Jingjing;Shi Wenqi;Chen Xiaodong;Chen Xiaoxia;Liu Zifeng;Deng Shumin(Big Data and Artificial Intelligence Center,the Third Affiliated Hospital of Sun Yat-sen University,Guangzhou 510000,China;Department of Psychosis,the Third Affiliated Hospital of Sun Yat-sen University,Guangzhou 510000,China)

机构地区：[1]中山大学附属第三医院大数据人工智能中心,广东广州510000 [2]中山大学附属第三医院精神心理科,广东广州510000

出　　处：《中国医院统计》2024年第4期248-252,257,共6页Chinese Journal of Hospital Statistics

摘　　要：目的探讨某医院抑郁症患者次均住院费用结构及重要性排序,为改善患者住院费用结构及有效控费提供依据。方法收集2018—2023年广州市某三甲医院抑郁症患者住院费用资料,运用结构变动度和新灰色关联分析评价各项费用与次均住院费用的关联程度、构成比及变化情况。结果2018—2023年抑郁症患者次均住院费用先逐步上升后降低,诊断费、检查费占比持续上升,护理费、药品费占比持续下降。2018—2023年次均住院费用结构变动度为33.84%,年均结构变动度为5.64%。结构变动贡献率前3位是药品费(26.77%)、诊断费(23.43%)和医疗服务费(19.77%),累计贡献率达69.97%。新灰色关联分析结果显示,对抑郁症患者次均住院费用影响最大的为治疗费(0.939),其次为诊断费(0.883)、检查费(0.866)和医疗服务费(0.817)。结论治疗费、诊断费和检查费是影响抑郁症患者住院费用的主要因素,护理费和药品费收入持续降低。建议持续优化费用结构,建立合理稳定高效的控费方案。Objective To explore the structure and importance ranking of average hospitalization costs for patients with depression,and to provide a basis for improving the structure of patients′hospitalization costs and effective cost control.Methods Information on the hospitalization costs of patients with depression in a tertiary hospital in Guangzhou City from 2018 to 2023 was collected,and the degree of association,composition ratio,and change of each cost with the average hospitalization costs per-time were evaluated by using the degree of structural variation and new gray correlation analysis.Results From 2018 to 2023,the average hospitalization cost per-time of patients with first gradually increased and then decreased,the proportion of diagnostic fee and examination fee continued to increase,and the proportion of nursing fee and drug fee continued to decrease.The degree of structural change of average hospitalization cost per-time during the 6-year period was 33.84%,and the degree of annual average structural change was 5.64%.The top 3 contributors to the structural change were drug fee(26.77%),diagnostic fee(23.43%)and medical service fee(19.77%),and the cumulative contribution of the three amounted to 69.97%.The results of the new gray correlation analysis showed that the treatment fee(0.939)had the greatest impact on the average hospitalization cost per-time of depressed patients,followed by the diagnostic fee(0.883),the examination fee(0.866)and the medical service fee(0.817).Conclusion Treatment fee,diagnostic fee and examination fee are the main factors affecting the hospitalization cost of depressed patients,and the income of nursing fee and drug fee continues to decrease.It is recommended to continuously optimize the cost structure and establish a reasonable,stable and efficient cost control program.

关 键 词：抑郁症 次均住院费用 新灰色关联分析 结构变动度 

分 类 号：R197.3[医药卫生—卫生事业管理] R749.4[医药卫生—公共卫生与预防医学]