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目的探讨脑梗死患者的住院费用分布特点及其影响因素。方法选取某三级甲等医院2002年1月-2011年6月全部脑梗死住院患者的病历首页和费用结算资料7420份,对其基本信息(年份、性别、年龄、职业、医疗付款方式、住院天数、入院情况、治疗结果等)进行一般性统计描述,并采用多元逐步回归分析法对其住院费用的影响因素进行综合分析。结果①医保患者的住院费用没有明显高于自费患者;②随着年龄增长,患者的住院费用总体上呈增加趋势;③住院天数越长,患者的住院费用越高;④患者住院费用从2002-2011年总体上呈增加趋势;⑤脑梗死患者的住院费用构成以药费、化验费和放射治疗费为主;⑥多因素分析结果显示,影响住院费用的主要因素为住院天数和住院年份等因素。结论在保证服务质量的前提下,脑梗死患者的住院费用控制重点应放在缩短住院天数、减少不必要的检查化验和不合理用药等方面。
Objective To investigate the distribution characteristics of hospitalization expenses and its influencing factors in patients with cerebral infarction. Methods A total of 7420 medical records and cost-clearing data of hospitalized patients with acute cerebral infarction from January 2002 to June 2011 in a tertiary care hospital were selected. Their basic information (year, sex, age, occupation, medical payment method, hospitalization Days, admission, treatment results, etc.) for general statistical description, and the use of multiple stepwise regression analysis of the impact of hospitalization costs a comprehensive analysis. Results ① The hospitalization expenses of Medicare patients were not significantly higher than those of patients who voluntarily paid their own expenses; ② The hospitalization expenses of patients generally increased with age; ③The longer the hospitalization days, the higher the hospitalization expenses of patients; ④The hospitalization expenses of patients from 2002- (5) The cost of hospitalization for patients with cerebral infarction mainly consisted of drug fees, laboratory fees and radiation treatment fees; (6) The results of multivariate analysis showed that the main factors affecting the cost of hospitalization were hospitalization days and length of stay . Conclusion In the premise of ensuring the quality of service, the focus of hospitalization control of patients with cerebral infarction should focus on shortening the length of hospital stay, reduce unnecessary laboratory tests and irrational medication and so on.