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目的分析支气管肺炎儿童住院费用的影响因素及作用程度,建立降低住院费用的有效对策。方法对某三甲综合医院2010年出院的841例支气管肺炎儿童的住院费用及相关影响因素采用通径分析方法计算主要因素的直接和间接作用程度。结果剔除次要因素后,六大主要影响因素中,药费和住院天数对住院费用的直接影响最大,住院天数的间接影响最大。结论加强单病种质控管理、缩短平均住院日,避免感染,加强健康宣传对降低住院费用具有重要作用。
Objective To analyze the influencing factors and the degree of hospitalization of children with bronchopneumonia and to establish effective countermeasures to reduce hospitalization costs. Methods The cost of hospitalization and the related influencing factors of 841 children with bronchopneumonia who were discharged from a tertiary general hospital in 2010 were analyzed by means of the path analysis method to calculate the direct and indirect effects of the main factors. Results After excluding the secondary factors, among the six major influencing factors, the direct impact of the cost of hospitalization and hospitalization on hospitalization expenses was the highest, and the number of hospital days was the most indirect. Conclusion Strengthening quality control of single disease, shortening average length of stay, avoiding infection and strengthening publicity on health play an important role in reducing hospitalization costs.