上海市闵行区流动人口孕产妇住院分娩经济负担分析

Analysis on the economic burden of hospital delivery of floating pregnant women in Minhang District of Shanghai.

目的:了解闵行区流动人口孕产妇住院分娩费用的构成及其影响因素,为制定辖区内流动人口孕产妇保健政策提供参考依据。方法:对511例流动人口孕产妇进行现场调查。现场调查数据与电子病案首页信息匹配,掌握被调查对象的妊娠结局、住院天数及医疗费用等。结果:流动人口孕产妇平均住院费用为(2 686.52±1 192.01)元。影响流动人口孕产妇住院分娩费用的主要因素是分娩方式、住院天数、产后出血量和产妇年龄。结论:降低剖宫产率和有效缩短住院天数是控制住院分娩费用的重点,对于减轻流动人口孕产妇经济负担、合理配置医疗卫生资源具有重要的现实意义。

Objective： To explore the composition and main influencing factors on the hospitalization expense of floating pregnant women in Minhang District of Shanghai, in order to provide reference for the development of maternal health care policy of floating pregnant women in this area. Methods： 511 cases of floating pregnant women were studied by field investigation , and the data matching with the first page of electronic medical record. The pregnancy outcomes, days of hospitalization and medical expenses of subjects were analyzed. Results： The average hospitalization expenses of floating pregnant women was （2 686.52 -＋ 1 192. 01 ） yuan. The main influencing factors of hospitali- zation expense were as follows： delivery mode, days of hospitalization, amount of postpartum hemorrhage and maternal age. Conclusion： The main measures to control the hospitalization expense of floating pregnant women are decreasing cesarean section rate and reducing hospital stay, they have important practical significance to reduce the economic burden of floating pregnant women and allocate health resource rea- sonably.