河南省某三甲医院颅内动脉瘤住院患者费用结构变动度分析

Analysis on the Costs Structure Variation of Intracranial Aneurysm Inpatients in a Three A and Tertiary Hospital in Henan Province

目的探讨河南省某三甲医院颅内动脉瘤患者住院费用结构变动度情况,为政府和医院管理者合理控费提供依据。方法从某三甲医院的住院病案首页提取颅内动脉瘤患者信息,并运用Excel进行数据清洗和住院费用描述性分析;主要采用结构变动度、结构变动值和结构变动贡献率等分析颅内动脉瘤患者住院费用构成变动情况。结果2013年-2022年患者例均医疗费用年均增长率为-0.34%,其平均费用为93984.98元;医疗费用总结构变动度为18.41%;药品费(41.23%)、耗材费(23.79%)、诊断费(14.88%)对住院费用结构变动贡献率位于前三位,累计贡献率为79.90%。结论颅内动脉瘤患者住院费用负担呈现降低趋势,且其医疗费用耗散部分主要为耗材和药品费,需提升医疗技术服务性费用占比。促进耗材和药物合理使用,可有效控制医疗费用增长。

Objectives To explore the structural variation of hospital costs for intracranial aneurysm patients in a Three A and Tertiary Hospital in Henan Province,and provide reference for government and hospital manager rational control of medical costs.Methods The hospitalization information of the patients was extracted from the front pages of the medical records,and the changes in the composition of hospitalization costs were analyzed by using the degree of structural change,the value of structural change and the contribution rate of structural change.Results The average annual growth rate of total medical costs for patients with intracranial aneurysm from 2013 to 2022 was-0.34%,and the average hospitalization expenses were 93984.98 yuan.The total structural variation of medical expenses was 18.41%.The contribution rates of drug cost(41.23%),consumables cost(23.79%)and diagnosis cost(14.88%)to the structural change of inpatient cost were the top three,and the cumulative contribution rate was 79.90%.Conclusions The burden of medical costs of hospitalized patients with intracranial aneurysm showed a decreasing trend.The medical costs were mainly consumable cost and drug cost,and the proportion of medical technical service cost should be increased.It was suggested to strengthen the publicity of disease prevention,especially in the elderly,improve the use of medical consumables and drugs,and effectively control the increase of medical costs.