CAJ | 학술논문

目的：探讨呼吸系统疾病患者住院费用的影响因素，为控制呼吸系统疾病患者住院费用提供依据。方法对某院2013年-2014年10255例呼吸系统疾病患者病例，可能与住院费用有关的因素，如性别、年龄、民族、入院时情况、付费方式、有无伴随疾病、有无医院感染、治疗效果及住院天数等采用描述性统分析、单因素方差分析和多元线性逐步回归分析方法进行统计分析。结果影响呼吸系统疾病患者住院费用的因素有住院天数、治疗转归、手术与否、年龄、性别及民族等（P＜0.05），校正的决定系数为0.7438，说明全部纳入方程的自变量可解释因变量变异程度的74.38%，其中住院天数(标准回归系数=0.4890，P＜0.001)是影响住院总费用的最重要因素。结论采用合理有效的预防治疗方案，有效缩短患者的住院天数，为控制医药费用的过快增长以及相关部门制定医改政策提供理论依据。
목적：탐토호흡계통질병환자주원비용적영향인소，위공제호흡계통질병환자주원비용제공의거。방법대모원2013년-2014년10255례호흡계통질병환자병례，가능여주원비용유관적인소，여성별、년령、민족、입원시정황、부비방식、유무반수질병、유무의원감염、치료효과급주원천수등채용묘술성통분석、단인소방차분석화다원선성축보회귀분석방법진행통계분석。결과영향호흡계통질병환자주원비용적인소유주원천수、치료전귀、수술여부、년령、성별급민족등（P＜0.05），교정적결정계수위0.7438，설명전부납입방정적자변량가해석인변량변이정도적74.38%，기중주원천수(표준회귀계수=0.4890，P＜0.001)시영향주원총비용적최중요인소。결론채용합리유효적예방치료방안，유효축단환자적주원천수，위공제의약비용적과쾌증장이급상관부문제정의개정책제공이론의거。
Objective To investigate the influential factors on the hospital costs of patients with respiratory disease and provide the evidence for controlling hospital costs of respiratory disease patients.Methods 10,255 cases of patients of respiratory diseases from 2013 to 2014 were collected in a hospital,then conducted descriptive statistics analysis,single factor analysis and stepwise regression statistical analysis on factors that may be associated with hospitalization costs such as gender,age,ethnicity,admission conditions,payment methods,with or without concomitant diseases,with or without infection,treatment and hospitalization days.Results Factors affecting the cost of hospitalization in patients with respiratory diseases included the number of days of hospitalization,treatment, surgery or not,age,gender and nationality,etc.(P<0.05),the corrected coefficient of determination was 0.7438, which mean 74.38% variation of dependent variable could attribute to independent variables which were brought into the equation.And days of hospitalization was the most important factor to affect the hospital costs(standardized regression coefficient=0.4890,P<0.001).Conclusions To adopt reasonable and effective prevention and treatment programs could effectively shorten the length of hospitalization days of patients,and provide a theoretical basis for controlling the excessive growth of medical costs as well as the medical reform design making of relevant departments.