宁夏某三级专科医院心脑血管疾病住院费用分析

Analysis on Hospitalization Expense of Cardiovascular and Cerebrovascular Diseases in a Three-Level Specialized Hospital of Ningxia

目的了解心脑血管疾病的住院医疗费用,探讨影响住院费用的关键因素,为控制医疗费用提供一定的理论参考依据。方法抽取银川市某三级甲等专科医院2011年-2014年出院的13 590例心脑血管疾病病案首页资料进行分析,寻找住院费用的主要影响因素。结果影响住院费用的主要因素为是否行手术治疗、住院天数和入院情况。标准回归系数分别为0.686、0.350和0.157,P值均<0.01,建立的回归方程有统计学差异,F=1681.742,P<0.01,全部纳入方程的变量可解释60.3%的医疗费用。结论降低高值耗材费、缩短平均住院日、规范诊疗行为、优化诊疗流程、完善医疗保障制度等措施有助于合理控制医疗费用。

Objective To provide certain theoretical reference for the control of medical expense through the comprehension the expenses of cardiovascular and cerebrovascular diseases and the study on key factors influencing the hospitalization expenses. Methods To extract the data on the home page of medical records of 13590 patients with cardiovascular and cerebrovascular diseases who discharged from a three-level A-class specialized hospital of Yinchuan in 2011-2014 to conduct factor analysis in order to search for the key factors affecting hospitalization expenses. Results The factors affecting hospitalization expenses are respectively from great to little： surgical treatment, length of stay and hospital admissions. The standard regression coefficient were 0.686、0.350、0.157, P〈0.01, The equation of regression has statistically significant, F=1681.742, P〈0.01, The variable which were brought into the equation can explain 60.3% of the medical consumption. Conclusions It was suggested to reduce consumables costs, shorten average hospitalization days, improve healthcare insurance system and optimizing hospital internal workflow to control medical costs.