急性心肌梗死患者住院费用构成及影响因素通径分析

Path Analysis of Hospital Cost Composition and Influencing Factors in Patients with Acute Myocardial Infarction

目的探讨急性心肌梗死患者住院费用构成及影响因素,为合理控制医疗费用的增长和进一步完善医改制度提供一定理论和现实依据。方法采用F检验分析患者住院费用的构成,并用逐步回归分析拟合通径分析模型筛选住院费用的影响因素。结果结果显示,费用结构不合理。离院方式、出院时间、是否手术对住院费用不仅有直接效应还有间接效应。结论建议优化费用结构,合理控制住院天数,积极探索多途径补偿模式,制定适合我国疾病诊断相关分组(DRGs)方案。

Objective To explore the hospital cost and influencing factors in patients with acute myocardial infarction,and to provide a certain theoretical and realistic basis for rational control of hospital cost and further improvement of health care reform.Methods F-test was used to analyze the composition of hospital cost of patients,and stepwise regression analysis was used to fit path analysis model to screen influencing factors of hospital cost.Results The result shows that the cost structure was unreasonable.The way of leaving hospital,the time of discharge and the operation or not had not only direct effect but also indirect effect on hospital cost.Conclusion It is suggested to optimize the cost structure,reasonably control the hospital days,actively explore multi-channel medical compensation model and develop a suitable diagnosis related group system(DRGs)program in China.