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目的分析剖宫产手术患者住院费用的构成和影响因素,探索控制医疗费用的合理办法。方法收集某院2014年1月-6月期间出院的剖宫产手术患者1736例,采用描述性分析、T检验、方差分析及多元线性回归方法,分析剖宫产手术的住院费用构成及其影响因素。结果构成剖宫产手术住院总费用中药品费比例最高(35.72%)、材料费次之(29.28%);影响住院费用的主要因素依次是住院天数、结算方式、药占比、材料占比、胎儿数量、主要诊断。结论调整医疗收费结构,加大政府投入,改革医保支付方式,加强医院管理,以控制医疗费用。
Objective To analyze the composition and influencing factors of hospitalization expenses in cesarean section patients and to explore a reasonable way to control medical expenses. Methods A total of 1736 cesarean section patients were discharged from January 2014 to June 2014 in a hospital. Descriptive analysis, T test, analysis of variance and multivariate linear regression were used to analyze the cost structure and impact of hospitalization for cesarean section factor. Results The cost of hospitalization of cesarean section accounted for the highest proportion (35.72%) and material expense (29.28%). The main factors influencing hospitalization were hospitalization days, settlement method, medicine proportion, material proportion, The number of fetuses, the main diagnosis. Conclusion Adjusting the structure of medical charges, increasing government investment, reforming medical insurance payment methods, and strengthening hospital management to control medical expenses.