非急诊剖宫产住院费用影响因素的分析

Hospitalization Expenses Influencing Factors Analysis of Non-emergency Caesarean Section Patients

目的研究非急诊剖宫产住院费用及影响因素为改进现有临床路径提供新的理论依据。方法抽取某院2015年的非急诊的,以剖宫产手术为分娩方式的住院病案,建立数据库,采用方差分析比较不同分组的住院总费用,并使用多元线性回归分析住院总费用到影响因素。结果 2015年某院平均的住院总费用为6807.00±1952.12元,中位数为6522.11元。手术数量多的患者住院总费用高,基本医保付费的住院患者的住院总费用低于其它付款方式的患者。住院总费用的影响因素有:主要诊断、住院时间、术前等待时间、术后住院时间、手术数量和费用方式。结论控制平均住院日仍然是控制住院总费用的一项有效的手段,对于不同病情的孕产妇要区别对待,合理规划临床路径,有效的减少患者的经济负担。

Objectives To study the hospitalization expenses and influencing factors of non-emergency caesarean section patients, and provide new theoretical evidence for improving the current clinical pathways. Methods To select the hospitalized medical records of non-emergency caesarean section patients of a hospital in Abstract Objectives To study the hospitalization expenses and influencing factors of non-emergency caesarean section patients, and provide new theoretical evidence for improving the current clinical pathways. Methods To select the hospitalized medical records of non-emergency caesarean section patients of a hospital in 2015, establish database, compare the total expenses of different groups with the application of variance analysis, and make multiple linear regression analysis on the influencing factors of total expenses. Results The average total hospitalization expenses was 6807.00 ± 1952.12 yuan in 2015,the median was 6522.11 yuan.The total hospitalization expenses were high in patients with more operation, the expenses of medical insurance payment patients were lower than other payment mode. The influencing factors included principal diagnosis, hospitalization days, waiting time before operation,delay time after operation, operation numbers and payment modes. Conclusions The control of average length of stay was still an effective method to control total hospitalization expenses, we should treat differently according to the pregnant women of different state of diseases, and also make reasonable programming of clinical pathways to decrease the economic burden of the patients.