1298例肺炎患儿住院费用比较及中药使用效益分析

Comparison on Hospitalization Costs and Benefit Analysis on Chinese Medicine Application of 1 298 Pneumonia Cases

目的：对比不同地域、不同类别医院肺炎患儿住院费用情况，统计中药使用情况对住院费用及住院时间的影响。方法：对全国13家分中心的肺炎患儿进行回顾性资料提取，按南北地域及医院类别进行分组，比较各组问的住院费用情况；按中药使用情况进行分组，比较各组间住院费用及住院时间情况，评价多途径使用中药带来的经济、时间效益。结果：地域比较中，南方医院在住院费用、住院时间、药物费用、检查费用上均比北方少；中西医比较中，中医院在住院费用、住院时间、药物费用、检查费用上均比西医院少。3种途径（口服、静脉、外用）使用中药组在住院费用、药物费用、检查费用上均小于完全西医治疗组及1～2种途径使用中药组，但其住院时间较长。结论：多途径使用中药治疗可以降低住院费用，但住院时间较长。

This study was aimed to compare the situation of pneumonia hospitalization costs in different regions, different types of hospital, and the influence on the hospitalization cost and length with the using of Chinese medicine. Retrospectively data of pneumonia children from 13 sub-centers across the country were extracted. Cases were grouped according to geographic north and south, and the hospital types in order to compare the hospitalization cost situation in each group. Cases were also grouped according to the application of Chinese medicine in order to compare the hospitalization cost and length situation in order to evaluate economic and time efficient brought by multi-route application of Chinese medicine in each group. The results showed that the hospitalization costs, hospitalization length, drug costs, inspection fees of the southern regions were less than the northern regions. The hospitalization costs, hospitalization length, drug costs, inspection fees of Chinese medicine hospitals were less than modern medicine hospitals. The hospitalization costs, drug costs and inspection fees of three administration route （i.e., oral, intravenous, topical） of the Chinese medicine group were less than modern medicine treatment group and Chinese medicine group with one or two administration routes. However, the hospitalization length was relatively longer. It was concluded that multi-route application of Chinese medicine can reduce the hospitalization cost. However, the hospitalization length is relatively longer.