医学与社会
醫學與社會
의학여사회
MEDICINE AND SOCIETY
2015年
8期
19-21,30
,共4页
叶红梅%王红仙%徐英%郑军华
葉紅梅%王紅仙%徐英%鄭軍華
협홍매%왕홍선%서영%정군화
高额住院费用%医疗费用
高額住院費用%醫療費用
고액주원비용%의료비용
Expensive Inpatient Cost%Medical Expense
目的：分析上海市某医院高额住院费用的构成情况，探索其影响因素，从而提出有针对性的建议和措施。方法：筛选上海市某三级甲等综合性医院2014年住院费用大于10万的高额住院病例共811例。采用SPSS19．0软件进行统计学处理。结果：高额住院病例费用中药费和耗材费最高，影响因素为性别、医疗付费方式、病种、科室、住院天数和疗效。结论：应当降低药费和材料费、加强重点人群健康教育、监控重点疾病和科室、减少平均住院天数、提高医疗水平、完善临床路径、探索按病种付费制，从而有效控制高额住院病例。
目的：分析上海市某醫院高額住院費用的構成情況，探索其影響因素，從而提齣有針對性的建議和措施。方法：篩選上海市某三級甲等綜閤性醫院2014年住院費用大于10萬的高額住院病例共811例。採用SPSS19．0軟件進行統計學處理。結果：高額住院病例費用中藥費和耗材費最高，影響因素為性彆、醫療付費方式、病種、科室、住院天數和療效。結論：應噹降低藥費和材料費、加彊重點人群健康教育、鑑控重點疾病和科室、減少平均住院天數、提高醫療水平、完善臨床路徑、探索按病種付費製，從而有效控製高額住院病例。
목적：분석상해시모의원고액주원비용적구성정황，탐색기영향인소，종이제출유침대성적건의화조시。방법：사선상해시모삼급갑등종합성의원2014년주원비용대우10만적고액주원병례공811례。채용SPSS19．0연건진행통계학처리。결과：고액주원병례비용중약비화모재비최고，영향인소위성별、의료부비방식、병충、과실、주원천수화료효。결론：응당강저약비화재료비、가강중점인군건강교육、감공중점질병화과실、감소평균주원천수、제고의료수평、완선림상로경、탐색안병충부비제，종이유효공제고액주원병례。
Objective: Analysis on the composition of high hospitalization expenses and explores the influencing factors so as to put forward some specific measures and suggestions.Methods: Selected 811 inpatient cases with expensive costs whose total hospitalization expense of indi-vidual patients is over RMB100, 000 at a 3A hospital of Shanghai in 2014.Data is analyzed with SPSS 19.0.Results:Drugs and medical material costs are the highest in high hospitalization expenses.The influencing factors are including gender, medical payment, and classification of disea-ses, department, hospital days and curative effect.Conclusion: By lowering drugs and material costs, strengthen health education of focus groups, monitoring priority diseases and departments, reducing the average hospitalization days, improving medical standards, perfecting clinical pathways, exploring DRGs, the hospital can effectively control the high inpatients.
