2016—2020年湖南某三甲医院住院死亡患者住院费用影响因素分析  

Analysis on Influencing Factors of Hospitalization Expenses of Dead Inpatients in a Tertiary Hospital in Hunan From 2016 to 2020

作　　者：刘冬玲 LIU Dongling(The Medical Record Room,the Second Affiliated Hospital of University of South China,Hengyang Hunan 421001,China)

机构地区：[1]南华大学附属第二医院病案室,湖南衡阳421001

出　　处：《中国卫生标准管理》2024年第19期54-57,共4页China Health Standard Management

摘　　要：目的通过统计湖南省某三甲医院2016—2020年住院死亡患者性别、年龄、住院次数等疾病情况,分析住院费用的相关影响因素及影响程度,为重症诊治、资源配置提供数据依据。方法运用χ^(2)检验、方差分析比较病死率、性别等指标的差异;建立回归方程,分析住院费用的影响因素。结果2016—2020年出院患者中男性多于女性,男女死亡病例性别比为2.33∶1,差异有统计学意义(P<0.05)。平均死亡年龄为(59.03±23.05)岁,平均住院天数为(12.48±3.06)d,平均住院次数为(1.65±0.59)次,平均住院费用为(5.60±0.56)万元,平均药费为(1.28±0.20)万元;5年间年龄、住院次数、住院费用、耗材费差异有统计学意义(P<0.05)。建立住院费用的多元线性回归方程,影响因素住院天数系数458.872、药费系数2.498、耗材费系数1.382(P<0.001)。2016—2020年死亡患者主要诊断主要集中在循环系统疾病,损伤、中毒和外因的某些其他后果,呼吸系统疾病、肿瘤、消化系统疾病占总死亡例数的77.22%。结论建议提高脑外伤重症患者的抢救成功率,提升相关科室的医疗质量。Obiective By counting the diseases such as gender,age and hospitalization times of the dead patients from 2016 to 2020.This paper conducts a comprehensive analysis,examining the various influencing factors and their respective degrees of impact on hospitalization expenses,and provides data basis for severe diagnosis and treatment and resource allocation.Methodsχ^(2)test and variance analysis were used to compare the difference of mortality and gender.Regression equation established to analyze hospitalization expenses′influencing factors.Results From 2016 to 2020,the number of discharged patients in the hospital was more male than female,and the sex ratio of male and female death cases was 2.33:1,the difference was statistically significant(P<0.05).The average age of death was(59.03±23.05)years,the average length of stay was(12.48±3.06)days,the average length of stay was(1.98±0.59)times,the average hospitalization cost was(56000±5600)yuan,the average drug cost was(12800±2000)yuan.There were differences in age,hospitalization times,hospitalization expenses and consumables expenses during 5 years(P<0.05).Multivariate linear regression equation of hospitalization cost was established.The coefficient of length of stay,drug cost and consumables cost were 458.872,2.498 and 1.382,all with P values less than 0.001.From 2016 to 2020,the death of patients in the hospital was mainly diagnosed as circulatory system,injury,poisoning and some other consequences of external causes,respiratory system diseases,tumors and digestive system diseases,accounting for 77.22%of the total number of deaths.Conclusion It is suggested that the hospital improve the rescue success rate of severe brain trauma patients and improve the medical quality of related departments.

关 键 词：死亡患者 病种 住院费用 影响因素 LOGISTIC回归 医院管理 

分 类 号：R197[医药卫生—卫生事业管理]