2007～2010年某县医院脑梗塞患者住院费用及影响因素分析

Analysis on the Influencing Factors and Changing of Inpatients Cerebral Infarction Expenses

[目的]探讨脑梗塞患者住院费用的变化及其影响因素,提出相关政策建议。[方法]对2007～2010年陵县人民医院的5 782例住院脑梗塞病例的住院费用进行分析。[结果]5 782例脑梗塞患者住院费用实际值,例次平均由2007年的2 686.04元上升至2010年的3 942.56元,例日平均由2007年的244.83元上升至2010年的384.52元。多元逐步回归分析结果,影响脑梗塞患者住院费用的因素有住院天数、住院年份、年龄、出院情况和工作单位,标准偏回归系数分别为0.560、0.267、0.042、-0.030和0.022。[结论]脑梗塞患者的住院费用逐年增加。年龄大、农村工作、住院天数多、出院时预后差、住院年份晚的脑梗塞患者的住院费用较高。

[Objective]To analyze the influencing factors and changing of cerebral infarction inpatients expenses, and make the policy recommendations. [Methods]A total of 5 782 cases with cerebral infarction inpatients in Lingxian county hospital in Shandong province were selected into the sample, with the analysis of variance and the multiple stepwise re gression analysis to analyze the influencing factors. [Results]The actual value of hospital costs of 5 782 cases of cerebral infarction, the average fee increased from 2 686.04 RMB to 3 942.56 RMB（2007-2010）, the average fee of every length of stay from 244.83 RMB to 384.52 RMB（2007-2010）. the multivariate analysis shows that, length of stay, year, age and discharge outcome were the influencing factors of the inpatients expenses, the standard partial regression coefficients were 0. 560,0. 267,0. 042, 0. 030 and 0. 022 respectively. [Conclusion] Hospital costs of cerebral infarction patients are on the rise every year. Cerebral infarction patients of older, rural work, the long days of hospitalization, a poor prognosis at dis charge and hospital later year have higher hospitalization costs.