医药分开和医耗联动改革对脑梗死患者住院费用的影响研究

Study on the Influence of the Medical Reform of on Separation of Medical Treatment and Drug Sales and Medical Consumption Linkage of Cerebral Infarction Patients Hospitalization Expenses

目的分析医药分开和医耗联动改革前后脑梗死住院患者的费用结构及影响因素,为有效控制医疗费用、主管部门制定相关政策提供参考。方法采用描述统计和推断统计分析方法,对脑梗死患者住院总费用及构成进行比较分析,运用多元线性回归分析法构建回归模型,并确定重大影响因素。结果脑梗死患者两次医改前后3个阶段,住院费用整体上呈先涨后降趋势,各类费用变化不一。住院日、是否麻醉、是否特护对住院费用有显著影响。结论为进一步降低脑梗死患者费用负担,医院需加强内部管理和开展科研攻关,主管部门制定相关政策,政府加强预防宣传投入,从而降低社会疾病负担。

Objective To analyze the cost structure and influencing factors of cerebral infarction inpatients before and after the medical separation and medical consumption linkage reform,so as to provide reference for effective control of medical expenses and the formulation of relevant policies by the competent authorities.Methods Using descriptive statistics and inferential statistical analysis methods,the total hospitalization expenses and composition of cerebral infarction inpatients were compared and analyzed.Multiple linear regression analysis was used to construct a regression model and analyze major influencing factors.Results In the three stages before and after the two medical reforms for cerebral infarction inpatients,the hospitalization expenses showed a trend of first rising and then falling,and four types of expenses varied.The length of hospital stay,whether or not anesthesia,and special care had significant impact on the cost of hospitalization.Conclusion In order to further reduce the cost burden of cerebral infarction inpatients,hospitals need to strengthen internal management and carry out scientific research,the competent authority shall formulate relevant policies,the government shall increase investment in prevention and publicity to reduce the burden of social diseases.