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目的:分析山东省某三甲医院剖宫产住院分娩费用,探讨不同组别下费用差异及影响因素,为分娩费用支付标准的制定及支付方式的改革提供参考。方法:选择某三甲医院2010—2014年剖宫产住院分娩数据,采用SPSS 19.0进行数据整理、描述及多元线性回归分析。结果:高龄产妇费用高于低龄产妇;分娩费用随合并症/并发症严重程度的加深而上升;直切口手术费用高于横切口手术;费用影响因素包括住院天数、合并症/并发症严重程度、年龄和手术方式。结论:加强高龄产妇孕期保健;强化医院成本管理,缩短住院天数;积极探索单病种分组付费,确定剖宫产费用的不同支付标准。
Objective: To analyze the hospital delivery costs of cesarean section in a top three hospital in Shandong Province, discuss the cost differences and influencing factors in different groups, and provide references for the formulation of payment standards and the reform of payment methods. Methods: Cesarean section hospital delivery data of a top three hospital from 2010 to 2014 were selected. Data were analyzed by SPSS 19.0 and described by multiple linear regression analysis. Results: Expenses of older mothers were higher than those of younger mothers; Expenses of delivery increased with the severity of comorbidities / complications; Surgical costs of straight incisions were higher than those of transverse incisions; Costs included hospitalization days, comorbidity, severity of complication, Age and surgical approach. Conclusions: Strengthen the maternal health care during the first trimester; strengthen hospital cost management and shorten the length of hospital stay; actively explore the payment of single disease groups and determine the different payment standards for cesarean section costs.