CAJ | 학술논문

目的：了解珠海市某三甲综合医院实施临床路径治疗的6个单病种住院费用情况，探讨费用影响因素。方法：收集珠海市某三甲综合医院2012年1月－2013年12月6个单病种住院患者的临床路径数据，采用描述性分析、秩和检验分析、相关分析以及多元线性回归分析方法进行分析。结果：药品费、检查费、检验费、手术费是单病种住院费用的主要构成部分，住院天数是住院费用的主要影响因素。结论：医院要有效控制各项医疗费用比例，加强临床路径管理工作，缩短患者住院天数，降低患者医疗费用。
목적：료해주해시모삼갑종합의원실시림상로경치료적6개단병충주원비용정황，탐토비용영향인소。방법：수집주해시모삼갑종합의원2012년1월－2013년12월6개단병충주원환자적림상로경수거，채용묘술성분석、질화검험분석、상관분석이급다원선성회귀분석방법진행분석。결과：약품비、검사비、검험비、수술비시단병충주원비용적주요구성부분，주원천수시주원비용적주요영향인소。결론：의원요유효공제각항의료비용비례，가강림상로경관리공작，축단환자주원천수，강저환자의료비용。
Objective: To understand the hospitalization expenses of clinical pathway treatment of six single diseases and discuss the influen-cing factors of the hospitalization expense in a hospital in zhuhai.Methods:Collecting the data of clinical pathway with hospitalized patients of six single diseases in a certain third class hospital in Zhuhai from January 2012 to December 2013, by using the descriptive statistics, rank sum test, correlation analysis and multivariate linear regression.Results: The medicine fee, the examination fee, the inspection fee and the operation fee were the main structure of hospitalization expense.The major influencing factor was the length of stay.Conclusion: The hospital should lighten the medical expenses by controlling the ratio of the main medical fee, strengthening the management of clinical pathway and shortening the length of stays.