超高消费住院病例医疗费用研究

Study on the Medical Expenditure of Super High Consumption of Inpatients

分析了1165例超高消费住院病例医疗费用特点和影响因素。结果显示,超高消费住院病例主要以循环系统疾病和损伤中毒、肿瘤等病种为主,年龄、住院天数、住院次数、抢救次数和护理天数与医疗费用呈非线性正相关。加强对循环系统疾病和损伤中毒等病种的诊治研究、加快床位使用效率、控制药品和材料比例,是控制超高消费住院病例医疗费用的关键点。

The super high cost of 1165 inpatients was investigated. The diseases of super high cost of inpatients are mainly circulatory system diseases, injuries, poisons and tumor;the disease distribution is relatively centralized. Non-linear positive correlation exists between age, hospitalization days, hospitalized times,emergency treatment times, nursing days and medical expense. The key points of controlling medical expense of super high consumption of inpatients include：strengthening the research and diagnosis and treatment of circulatory system diseases, injuries and poisons diseases, and so on; improving the using efficiency of hospital beds; strengthening the supervision mechanism; suppressing the excessive medical treatment; controlling the proportion of drugs and medical consumables.