急性心肌梗死患者住院费用构成分析和影响因素研究

Study on the Composition and Influential Factors of Hospitalization Costs of Acute Myocardial Infarction Patients

目的分析急性心肌梗死患者住院费用构成的特点及费用的影响因素,提出合理控制医疗费用的方法。方法收集2009年-2013年急性心肌梗死病例718例,采用描述性分析、单因素分析和多元线性回归分析等方法分析急性心肌梗死患者的住院费用及其影响因素。结果急性心肌梗死住院费用总体呈现下降趋势,影响住院费用的主要因素是住院天数、手术方式、有无手术、医保类型。结论医疗费用控制总体效果理想。实施临床路径管理、规范诊疗行为、优化诊疗流程、缩短平均住院日等措施均有助于合理控制医疗费用,完善医疗保障制度。

Objective To investigate the composition and influential factors of hospitalization costs of acute myocardial infarction patients in order to give suggestions on controlling medical costs. Methods 718 medical records of acute myocardial infarction patients were collected from our hospital from 2009 to 2013, analyzing the changing trends of hospitalization cost and influencial factors with descriptive analysis, single-factor test and multiple linear regressions. Results There shows an annual decrease on hospitalization cost in treating acute myocardial infarction patients. Many factors, such as length of stay, surgical procedure, surgical situation, payment methods all can play important roles in affecting hospitalization costs. Conclusion To control medical costs, it was suggested to shorten average hospitalization days through implementing clinical pathway management and optimizing hospital internal workflow. We should improve heahhcare insurance system and develop efficient payment mechanism.