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[目的]探讨2003～2008年深圳市支气管炎患者住院费用的的变化情况及影响因素,为控制住院费用上涨提供依据。[方法]利用深圳市21498例支气管炎患者的资料,通过描述性分析和两水平方差成分模型等方法探讨其住院费用的变化情况和影响因素。[结果]2003～2008年间,支气管炎患者住院费用呈现“升-降-升”的变化趋势;住院费用存在医院水平上的聚集性;年龄、住院天数、是否手术等是其住院费用的的影响因素。[结论]两水平方差成分模型用于分析不同医院水平住院费用的影响因素具有合理性;开展健康教育、加强医疗价格管理等能有效地降低住院费用。
[Objective] To investigate the changes and influencing factors of hospitalization expenses of patients with bronchitis in Shenzhen from 2003 to 2008, and provide the basis for controlling the increase of hospitalization expenses. [Method] The data of 21 498 patients with bronchitis in Shenzhen were used to study the changes of hospitalization expenses and its influencing factors by means of descriptive analysis and two-level variance component model. [Results] The hospitalization expenses of patients with bronchitis showed a trend of “rising-falling-rising” during the period of 2003 to 2008; the hospitalization expenses were collected at the hospital level; and the age, days of hospitalization, and whether or not surgery were the costs of hospitalization The impact of factors. [Conclusion] The two-level variance model can be used to analyze the influencing factors of hospitalization costs in different hospitals. It is reasonable to carry out health education and strengthen the management of medical prices to effectively reduce hospitalization costs.