早晚期新生儿肺炎患儿住院费用构成及影响因素分析

Analysis on Influencing Factors of Hospitalization Expenses of Early and Late Neonatal Pneumonia

目的 分析早、晚期新生儿肺炎患者的住院费用水平及构成情况,探讨住院费用的影响因素,为医疗费用合理增长提供可行性建议。方法 调取某医院2018年1月1日至2018年12月31日共计237例新生儿肺炎患儿病案信息,根据出生日龄分为早期新生儿组、晚期新生儿组;对两组患儿的费用构成进行χ^(2)检验,对其影响因素进行多元线性回归分析。结果 共纳入病例234例,其中早期新生儿组与晚期新生儿组的次均住院费用分别为15570.01元、8800.26元,平均住院日分别为10.14天、7.52天。从住院费用构成分析,两组患儿中治疗操作费、化验费、护理费居前3位;多元线性回归方程结果显示早期新生儿组的住院费用相关系数依次为住院天数(1504.299)、机械通气(3029.36)、吸气三凹征(5675.218)、出生日龄(-552.343);晚期新生儿组依次为住院天数(958.607)、机械通气(9907.313)、吸气三凹征(11664.554)。结论 早期新生儿组的住院天数、住院费用均高于晚期新生儿组;住院天数、机械通气、吸气三凹征是影响两组患儿住院费用的正相关因素;出生日龄是影响早期新生儿组住院费用的负相关因素。合理降低化验费用、有效控制住院天数可降低新生儿肺炎的住院费用。

Objectives To analyze the level and composition of hospitalization expenses and explore the influencing factors of early and late neonatal pneumonia patients,and provide feasible suggestions for the reasonable growth of medical expenses.Methods A total of 237 medical records from a hospital were selected group by early and late neonatal pneumonia according to birth age from January 1 st,2018 to December 31 st,2018.The average hospitalization days were 10.14 days and 7.52 days respectively.The cost components of the two groups were tested,and the influencing factors were analyzed by multiple linear regression.Results A total of 234 cases were included.The average hospitalization expenses of early neonatal group and late neonatal group were 15570.01 yuan and 8800.26 yuan respectively;From the analysis of the composition of hospitalization expenses,the treatment operation expenses,laboratory expenses and nursing expenses ranked the top 3 in the two groups;The results of multiple linear regression equation showed that the correlation coefficients of hospitalization expenses in the early neonatal group were hospitalization days(1504.299),mechanical ventilation(3029.36),inspiratory three concave sign(5675.218) and birth age(-552.343);In the late neonatal group,the number of hospitalization days(958.607),mechanical ventilation(9907.313) and inspiratory three concave sign(11664.554).Conclusions The length of stay and cost of hospitalization in the early neonatal group were higher than those in the late neonatal group;The length of stay,mechanical ventilation and inspiratory three concave sign were the positive correlation factors affecting the hospitalization expenses of the two groups;The age of birth date was a negative correlation factor.Reasonable reduction of laboratory expenses and effective control of hospitalization days could reduce the hospitalization expenses of neonatal pneumonia.