子宫肌瘤患者住院医疗费用的影响因素分析

Analysis of Influencing Factors on Hospitalization Expenses of Patients with Uterine Myoma

目的 对子宫肌瘤患者住院医疗费用的影响因素进行分析。方法对乌鲁木齐市某医院妇科2006年12月~2008年1月住院的48例子宫肌瘤患者在住院期间产生的医疗费用进行影响因素的统计分析。结果 子宫肌瘤患者的各年龄组、住院天数、付款方式、手术与否、疾病转归对住院医疗费用的影响有统计学差异（P〈0.05）;医疗费用的主要构成是诊疗费、药费和检查费;住院医疗费用的主要影响因素依次为住院日、疾病转归、年龄、付款方式。结论 单病种费用控制是一种有效降低医疗费用的方法,降低检查费和医疗费、实施恰当的诊疗措施、缩短住院日是控制过高医疗费用的关键。

Objective To analyze the inlfuencing factors of hospitalization expenses of patients with uterine myoma.Methods 48 cases of uterine ifbroids patients of gynaecology department in the hospital of Urumqi from December 2006 to January 2008 were selected, the inlfuencing factors of their medical expenses were studied with statistical analysis.Results In the patients with uterine ifbroids, all age groups, hospitalization days, payment style, operation and no disease, disease prognosis on hospitalization expenses effect was statistically signiifcant （P〈0.05）, constituted the main medical expenses were medical fees, fees and examination fees; Main influencing factors of medical expenses of hospitalization followed by hospitalization days, disease prognosis, age, payment style.Conclusion Single disease cost control is an effective way to reduce the cost of medical treatment, reduce the cost of inspection and medical expenses, the implementation of appropriate treatment measures, shorten the length of stay is the key to control the high cost of medical treatment.