珠海市某医院医保病人和自费病人住院费用结构对比分析

Compamtive Research of Hosipital Cost Structure between Medical Znswance Patients and Self-funded Patients in a Hospifal of Zhuhai City

目的了解影响住院患者人均费用的主要构成部分,为医院管理者控制住院费用的过度增长,合理降低患者住院费用提供参考。方法采用灰色关联法,结合Excel和SPSS 11.1汇总分析2002~2006年住院患者病案首页费用信息。结果影响患者人均住院主要费用成分依次是:药品费、检验费、输血费和放射费。结论药品、护理、床位费用是影响医保患者和自费患者人均住院费用的主要因素;相对自费患者而言,护理、化验、检查是对医保患者更重要的人均住院费用影响因素。

Objective To understand the main factors influencing per-capita hospitalization cost and provide reference for hospital administrators to control excessive growth of hospitalization cost and reduce patients' economic burden.Methods Data of cost information on inpatients' medical records from 2002 to 2006 were collected and analyzed with Grey relational analysis by statistical software Excel and SPSS 11.1.Results The main factors influenced on per-capita hospitalization cost were followed: drug charges,inspection fees,transfusion costs and radiology costs.Conclusions Medicine,nursing and bed costs are the main factors influencing per-capita hospitalization cost of medical insurance patients and self-funded patients;Relative to self-funded patients,nursing,testing,inspection are more important to medical insurance patients.