中国卫生经济
中國衛生經濟
중국위생경제
CHINESE HEALTH ECONOMICS
2013年
4期
29-31
,共3页
范玉铮%吕炜%王勇%耿文奎%黄丽华%张杰%李彬%李俭%李超云%赵捷%陈伟雄%谢建光
範玉錚%呂煒%王勇%耿文奎%黃麗華%張傑%李彬%李儉%李超雲%趙捷%陳偉雄%謝建光
범옥쟁%려위%왕용%경문규%황려화%장걸%리빈%리검%리초운%조첩%진위웅%사건광
住院费用%影响因素%广西
住院費用%影響因素%廣西
주원비용%영향인소%엄서
medical expenditure%influence factor%Guangxi
目的:通过对广西市属三级甲等综合医院2011年出院患者基本特征及费用分析,了解住院费用的影响因素,为政府和卫生部门控制医疗费用过快增长、完善医疗保险制度、推进新医改进程等提供决策依据.方法:收集2011年广西市属三级甲等医院住院病例374993例,采用描述性分析方法分析住院患者基本特征及住院费用,采用多重线性回归分析影响住院费用的因素.结果:医院住院费用虚高增长、药费比例过高的现状依然存在.多因素分析提示住院天数、有无手术、年龄、有无输血、入院情况、性别、治疗转归、婚姻状况和支付方式是住院费用的影响因素.结论:广西住院费用控制应以控制住院天数为突破口,调整医疗服务价格体系,减少高额住院费用患者比例,实施单病种管理、优化医院内部流程等来解决.
目的:通過對廣西市屬三級甲等綜閤醫院2011年齣院患者基本特徵及費用分析,瞭解住院費用的影響因素,為政府和衛生部門控製醫療費用過快增長、完善醫療保險製度、推進新醫改進程等提供決策依據.方法:收集2011年廣西市屬三級甲等醫院住院病例374993例,採用描述性分析方法分析住院患者基本特徵及住院費用,採用多重線性迴歸分析影響住院費用的因素.結果:醫院住院費用虛高增長、藥費比例過高的現狀依然存在.多因素分析提示住院天數、有無手術、年齡、有無輸血、入院情況、性彆、治療轉歸、婚姻狀況和支付方式是住院費用的影響因素.結論:廣西住院費用控製應以控製住院天數為突破口,調整醫療服務價格體繫,減少高額住院費用患者比例,實施單病種管理、優化醫院內部流程等來解決.
목적:통과대엄서시속삼급갑등종합의원2011년출원환자기본특정급비용분석,료해주원비용적영향인소,위정부화위생부문공제의료비용과쾌증장、완선의료보험제도、추진신의개진정등제공결책의거.방법:수집2011년엄서시속삼급갑등의원주원병례374993례,채용묘술성분석방법분석주원환자기본특정급주원비용,채용다중선성회귀분석영향주원비용적인소.결과:의원주원비용허고증장、약비비례과고적현상의연존재.다인소분석제시주원천수、유무수술、년령、유무수혈、입원정황、성별、치료전귀、혼인상황화지부방식시주원비용적영향인소.결론:엄서주원비용공제응이공제주원천수위돌파구,조정의료복무개격체계,감소고액주원비용환자비례,실시단병충관리、우화의원내부류정등래해결.
Objectives: Focus on the study of patients’ characteristics and the related factors contributing to medical cost on all patients of tertiary general hospitals of Guangxi in 2011, in order to provide government and health departments with basis to control unreasonable increase of medical costs, improve the medical insurance system, promote the new medical reform process. Methods:Information of 374 993 cases of hospitalized patients from tertiary municipal hospitals of Guangxi was collected and SPSS 19.0 statistics software package was used to analyze the the profile, disease patterns distribution, structure of medical costs and main contributors related to medical costs. Results: It is found that the phenomenon of rising medical costs of hospitals still existed, and the drugs cost share was large. The total cost of hospitalization was related to the following factors: days of hospitalization, operation situations, age, blood transfusions situations, admission condition, gender, efficacy, marriage, and payment methods. Conclusions: In order to reduce hospitalization costs, controlling the days of hospitalization should be taken as a breakthrough, medical service price system be adjusted, the high percentage of higher medical expense be reduced, and the hospital internal procedure be optimized and so on.
