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目的 :分析住院患者单病种住院费用及影响因素 ,为加强医院的经济管理提供依据。方法 :资料来源于无锡市某医院病历首页数据库 ,应用SPSS统计软件包处理 ,统计方法采用方差分析、多元逐步回归分析等。结果 :5种疾病中 ,除老年性白内障外 ,其余疾病的住院费用均以药费所占比重较大 ,达 50 %以上 ,而床位费最低 ,仅 5%左右。单因素方差分析结果表明 ,住院天数对 5种疾病的人均费用均有明显影响 ,随住院时间的延长 ,费用增加 ,差异有显著意义 (P <0 .0 1)。而其它几个因素对各病种的影响有所不同。多因素逐步回归分析结果显示 ,住院天数是影响 5种疾病患者人均住院费用的首要因素 (标准回归系数 =0 .593)。结论 :住院天数是影响患者住院费用的主要因素 ,人均药费也占住院费较大比重。因此 ,应注意减少无效住院日 ,控制用药费用 ,以降低医疗费用。
Objectives: To analyze the hospitalization expenses and influencing factors of single-disease hospitalization patients, so as to provide basis for strengthening the hospital’s economic management. Methods : The data were collected from the homepage database of a medical record in a hospital in Wuxi. The data was processed using the SPSS statistical software package. The statistical methods used were analysis of variance and multivariate stepwise regression analysis. Results: Among the 5 diseases, except for senile cataract, the hospitalization expenses for the remaining diseases were all accounted for more than 50% of the cost of medical expenses, and the bed fees were the lowest, only about 5%. The one-way analysis of variance showed that the number of hospital stays had a significant impact on the per capita costs of the five diseases. With the extension of hospital stay, the cost increased, and the difference was significant (P < 0.01). Several other factors have different effects on each disease type. The multivariate stepwise regression analysis showed that the number of hospital stays was the primary factor affecting the per capita hospitalization cost of five kinds of disease patients (standard regression coefficient=0.593). Conclusion: The length of hospital stay is the main factor influencing the patient’s hospitalization cost, and the per capita drug cost also accounts for a large proportion of the hospitalization fee. Therefore, we should pay attention to reducing invalid hospitalization days and control the cost of medications to reduce medical expenses.