门诊发热患者费用及影响因素

AN ANALYSIS OF FEVER OUTPATIENTS’ EXPENSES AND INFLUENCING FACTORS

目的：分析发热门诊的费用情况，为控制医疗费用上涨提供依据。方法：对在我院发热门诊2005年6月1-30日就诊病人的年龄、性别、医疗费用承担方式及医疗费用的详细情况进行统计分析。结果：发热病人男性多于女性，21～30岁发病例数最多（439例，38．5％），最常见的病因是上呼吸道感染和支气管炎，发热门诊病人平均费用159．74元，药费占73．5％，肺炎费用最高（505．82元）。老年人费用多于青年人，公费医疗病人费用多于医疗保险和自费病人的费用。结论：发热门诊的费用主要与病人的年龄、疾病、医疗费用承担方式有关，医疗费用中药费仍占较大比重，进一步深化医疗制度改革势在必行。

Objective： To analyse the expenses of fever outpatients in our hospital so as to provide a basis for controlling the rising of medical expenses. Methods： Statistical analysis was used to study the age, sex, submitting an expense account, drug, examine and cure expense of fever outpatients. Results： There is significant difference between male and female （P 〈 0.05）. The majority of fever cases are 21-30 years old （439 cases, 38.5% ）. The most frequent origin of fever are acute upper respiratory infection and acute bronchitis. Mean expense of fever outpatients is 159.74 yuan, 73.5% of that is medical expenses. The expenses of old people is higher than that of the young people, the expenses of patients of free medical service is higher than that of the patients of the medical insurance and one＇ s own expense. Conclusion： Major factors affecting fever outpatients expenses are their age, disease and the way to assume the expenses. The medical expenses is higher than others. It is imperative to reform medical institution.