心脑血管病患者住院情况因子分析

Expense and time costs analysis of inpatients with cerebro-cardiovascular diseases by factor analysis method

目的评价心脑血管疾病患者的医护类诊疗费用、仪器类检查费用、药物类费用、住院时间等。方法采用因子分析法对重庆某基层医院2011年所有住院患者(1 883例)的住院天数、各种诊疗费用等作为指标,构建评价工具,用该评价工具分析、评价心脑血管疾病患者住院情况。结果通过因子分析提取公共因子4个,将其中3个命名为住院时间相关综合指数、检查及药品费用指数、诊疗操作及手术费用指数。以这3个新指标及其得分作为评价工具,分析心脑血管疾病情况。结果显示高血压住院患者(91例)在住院时间相关综合指数及各类费用指数均最低;缺血性心脏病住院患者(121例)的诊疗操作及手术费用指数最高;脑血管疾病住院患者(137例)的住院时间相关综合指数、检查及药品费用指数最高。结论在心脑血管疾病住院患者中,高血压患者住院时间相对较短、费用较低,医保等相关临床政策对不同疾病患者住院应区别对待。

Objective To assess diagnostics and therapeutics costs,examination and assay costs,drug costs,length of stay of inpatients with cerebro-cardiovascular diseases.Methods Assessment tool was established by using factor analysis method.13 main indices of 1883 inpatients in a hospital in 2011 were included,such as length of stay,diagnostics costs,therapeutics costs,examination costs,assay costs,drug costs etc.The assessment tool was applied to assess the cerebro-cardiovascular diseases expense and time costs.Results Time costs and various costs indices of inpatients with hypertension were the lowest while diagnostics and therapeutics costs of inpatients with ischemic heart disease were the highest.Time costs and various examination and assay costs,drug costs with cerebrovascular disease were the highest.Conclusion Expense and time costs of patients with hypertension arc lower.Patients with different diseases should be treated differently by medical insurance and other clinical policy.