八种常见妇幼疾病住院医疗费用因子分析

Factor Analysis of the Medical Expenses of 8 Common Women and Children Diseases Inpatients

目的:探讨影响8种常见妇幼疾病住院医疗费用的主要支配因子,为控制住院医疗费用的过度增长提供理论依据与实践启示。方法:以参加全国医疗机构成本监测的62家医院的8种常见妇幼疾病416例为样本,采用因子分析方法,对各项医疗费用进行实证分析。结果:手术检验费因子、护疗费因子、诊察药品费因子是支配住院医疗费用的3个关键因子。结论:控制妇幼医疗费用的过度增长,应重点控制药品费、治疗费和手术费。

Objective： To explore the main controlling factot.＇s of the medical expenses of 8 diseases inpatients of women amt children to provide the theoretical basis and practical implications of controlling the overage rise of the medical expense. Method： 416 cases of the 8 diseases of women and children in sixty-two hospitals selected by Ministry of Health are sampled. The medical expenses of the inpatients are analyzed by the factor analysis method. Results： Factors of operation, examination and laboratory test, factors of nursing and treatment, factors of diagnosis and medicine are the three public factors influencing medical expenses. Conclusion： medicine expenses, treatment expenses and operation expenses must be especially decreased to control the overage rise of women and children＇s medical expenses.