CAJ | 학술논문

目的：了解抑郁障碍患者住院费用构成及其影响因素，为控制住院费用提供参考依据。方法从广西某精神病专科医院的信息管理系统提取2006-2011年743例抑郁障碍住院患者的住院费用情况进行回顾性调查，采用多元逐步回归模型分析患者住院费用的影响因素。结果2006-2011年抑郁障碍患者例均年住院费用为5362.45元；在各项住院费用中，治疗费占35.30％，药品费占32.56％，检查化验费占21.63％，床位费占6.29％，其他费用占4.22％。多元线性回归分析结果表明，住院天数多〔b＝0.586，95％CI （0.009，0.036）〕、医保的患者〔b＝0.066，95％CI （0.005，0.084）〕住院费用较高。结论缩短抑郁障碍患者的住院天数是降低患者住院费用的关键所在。缩短住院时间，不但可降低患者的住院费用，减轻患者的负担，同时也能加快病床周转，提高医院的经济效益。
목적：료해억욱장애환자주원비용구성급기영향인소，위공제주원비용제공삼고의거。방법종엄서모정신병전과의원적신식관리계통제취2006-2011년743례억욱장애주원환자적주원비용정황진행회고성조사，채용다원축보회귀모형분석환자주원비용적영향인소。결과2006-2011년억욱장애환자례균년주원비용위5362.45원；재각항주원비용중，치료비점35.30％，약품비점32.56％，검사화험비점21.63％，상위비점6.29％，기타비용점4.22％。다원선성회귀분석결과표명，주원천수다〔b＝0.586，95％CI （0.009，0.036）〕、의보적환자〔b＝0.066，95％CI （0.005，0.084）〕주원비용교고。결론축단억욱장애환자적주원천수시강저환자주원비용적관건소재。축단주원시간，불단가강저환자적주원비용，감경환자적부담，동시야능가쾌병상주전，제고의원적경제효익。
Objective To study the composition of hospitalization expenses of patients with depressive disorder and its influencing factors so as to provide a reference for the control of hospital fees.Methods The relevant information about hospitali-zation expenses of 743 patients with depressive disorder was collected from the information management system of a psychiatric hos -pital from the year 2006 to 2011 , and then retrospectively analyzed.The multivariate regression analysis method was applied to an-alyze the factors influencing the expenses.Results In 2006-2011 , the annual average hospitalization expense of patient with depressive disorder was RMB 5 362.45 yuan.Among the hospitalization costs , the treatment cost accounted for 35.3%, followed by drug costs , laboratory test cost.bed cost and others , accounted for 35.30%, 32.56%, 21.63%, 6.29%and 4.22%, re-spectively.Multiple linear regression analysis showed that the hospitalization days were more 〔b =0.066 , 95%CI ( 0.005 , 0.084)〕, and the expense of the patients with medical insurance 〔b=0.586, 95%CI (0.009, 0.036)〕 cost more.Con-clusion How to shorten the hospitalization days of patients with depressive disorder is the key to reduce the patient ′s hospital fees.To shorten the hospitalization time can not only reduce the patient′s hospital fees to relieve their burden , but also speed up the bed turnover to raise the economic benefits of the hospital.