晶体手术住院费用构成因子分析

Factor analysis of hospitalization expenses for lens surgery

目的找出影响晶体手术住院费用的公因子，提出控制医疗费用不合理增长的有效措施。方法收集北京某三级综合医院2014年全年住院患者信息，使用BJDRGs平台，将其反馈的DRGs组为CB39（晶体手术）的555例患者对应的住院费用构成进行因子分析。结果该医院晶体手术组病例中，手术用一次性医用材料费用占比最高，占总费用42．77％；手术治疗费、西药费占比排名也靠前，分别为23．19％，17．15％。结论从院方角度出发，可控费用重点项目为医用药品、耗材两类，建议医院根据临床路径、诊疗规范、采购政策进行严格管控，并探索新的支付方式。

Objective To identify the common factor affecting hospitalization expense of lens surgery operation, and propose effective measures to curb unreasonable increase of medical costs. Methods Collection of inpatients information of the year 2014 from a tertiary hospital in Beijing, for factor analysis of the hospitalization expenses of 555 inpatients categorized as DRGs of CB,39 （lens surgery）, using the BJ-DRGs platform. Results The highest factor of lens surgery expenses is disposable medical surgery materials, accounting for 42. 77%; followed by surgery fee and medication fee, accounting for 23. 19% and 17. 15% respectively. Conclusion For the hospitals, medicine and medical material rank the highest in cost control, and they are recommended to work on them by means of clinical pathways, medical norms and purchasing policy, and to explore new means of payment in the meantime.