基于BP神经网络的急性支气管炎付费标准实证研究

An empirical research on payment standards of acute bronchitis based on BP neural network

目的:通过急性支气管炎住院费用测算与分析,提出单病种付费标准参考建议。方法:收集四川省4个地区8家医院2012-2013年出院第一诊断为急性支气管炎患者费用信息,利用神经网络的非线性处理和网络综合能力,对急性支气管炎住院费用进行测算与分析。结果:1急性支气管炎人均住院费用总额为2 895.44元,药品类、诊断类、综合类费用占比较大;2个体因素(住院天数、年龄、费用类型、是否手术)对住院费用影响显著;3医院地区对于综合类、药品类和诊断类费用影响显著。结论:1进行单病种费用差异性分析;2对单病种付费标准进行简易分组;3急性支气管炎付费标准为2 508.91元,上下限分别为3 162.28元和1 479.11元,有助于降低次均费用、缩小费用差异。

Objective To analyze hospitalization expense of acute bronchitis so as to provide reference for single dis- ease payment standard. Methods Literature review,field survey and statistical analysis were made. Results Hospitaliza- tion expense averaged 2895.44 yuan per capita,of which high fee proportion included drug, treatment and comprehen- sive service. Individual factors （hospitalization days,age, type of charge, surgery or not） had significant influence on hospitalization expense. The costs of comprehensive service,drug and treatment were affected by the location of hospi- tal~ remarkably. Conclusions Difference analysis of single disease cost should be made and simple grouping of payment standards for single disease can be conducted. Payment standard of acute bronchitis is 2 508. 91 yuan, ranging from 3 162.28 yuan to 1 479.11 yuan. Payment standard contributes to reducing the per capita cost and the difference in cOStS.