脑缺血患者次均住院费用结构变动度与灰色关联分析  

Study on Structural Variation of Average Inpatient Cost Per Hospitalization and Grey Correlation Analysis of Cerebral Ischemia Patients

作　　者：刘雪丽 LIU Xueli(Department of Medical Records Management,The Second Affiliated Hospital of Shaanxi University of Traditional Chinese Medicine,Xianyang 712000,Shaanxi,China)

机构地区：[1]陕西中医药大学第二附属医院病案管理科,陕西省咸阳市712000

出　　处：《中国卫生信息管理杂志》2024年第6期930-936,共7页Chinese Journal of Health Informatics and Management

基　　金：咸阳市科学技术局社会发展项目“基于三级公立医院绩效考核和DRG付费的病案质量全流程管理”(2021ZDYF-SF-0045)。

摘　　要：目的分析脑缺血患者住院费用结构的变化及主要影响因素,为合理控费提供建议。方法使用结构变动度分析某院2021—2023年脑缺血患者次均住院费用的结构变动情况,通过灰色关联探究3年间影响脑缺血患者次均住院费用变化的关键因素。结果2021—2023年脑缺血患者的次均住院费用呈逐年下降趋势,年下降率为9.79%。2021—2023年次均住院费用总体结构变动度20.63%,引起次均住院费用变动的主要项目是西药费(36.35%)和诊断费(25.81%)。与次均住院费用关联度最大的是综合医疗服务费,其次是中医费、其他费用、诊断费、治疗费、西药费、中药费、血液和血制品费、康复费以及耗材费。结论在多项政策的推动下,费用结构向体现医生价值的医疗服务费用倾斜,趋于合理;但依然需要进一步改善住院费用结构,有效减轻患者的经济负担。Objective To analyze the changes and main influencing factors of hospitalization cost structure in patients with cerebral ischemia,and to provide suggestions for reasonable cost control.Methods The structural variation degree was used to analyze the structural variation of the average inpatient cost per hospitalization of cerebral ischemia patients in a hospital from 2021 to 2023,and the key factors affecting the change of the average inpatient cost per hospitalization of cerebral ischemia patients in three years were explored through grey correlation.Results From 2021 to 2023,the average inpatient cost per hospitalization of cerebral ischemia patients showed a decreasing trend year by year,with an annual decreasing rate of 9.79%.From 2021 to 2023,the overall structural change of average inpatient cost per hospitalization was 20.63%,and the main items causing the change of average inpatient cost per hospitalization were western medicine cost(36.35%)and diagnosis cost(25.81%).The comprehensive medical service fee is the most correlated with the average hospitalization cost per hospitalization,followed by the traditional Chinese medicine fee,other fees,diagnosis fee,treatment fee,western medicine fee,Chinese herbal medicine,blood and blood products fee,rehabilitation fee and consumables fee.Conclusion With the promotion of a number of policies,the cost structure is inclined to the medical service cost that reflects the value of doctors,which tends to be reasonable.However,it is still necessary to further improve the hospitalization cost structure and effectively reduce the economic burden of patients.

关 键 词：次均住院费用 脑缺血 结构变动度 灰色关联分析 

分 类 号：R-34[医药卫生] R319