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目的探讨某市某三甲医院头部外伤患者住院费用的影响因素,为指导费用控制与提高服务质量提供参考。方法收集某市某三甲医院2013年-2014年出院的头部外伤患者的病案首页信息,同时收集住院的费用信息,使用AMOS 17.0中的路径分析方法,对数据进行处理模似,探讨影响路径。结果对患者住院费用影响较大的因素为住院天数、是否手术、是否ICU,排名前3。是否手术对住院天数的影响力系数为0.256,对住院费用的直接作用为0.331;而住院天数对住院费用的直接影响系数为0.559。结论影响头部外伤患者的住院费用主要因素为住院天数、手术和监护室情况。为更好的控制住院费用,可以使用进行诊断相关分组(DRGs)方法。?
Objective To explore the influencing factors of hospitalization expenses of head trauma patients in a certain top three hospital in a certain city, and to provide reference for guiding cost control and improving service quality. Methods Collecting the first page of medical record of head trauma patients discharged from one of the top three hospitals in a city from 2013 to 2014 and collecting the cost information of hospitalization, using the path analysis method in AMOS 17.0 to process the data and discuss the influence path. Results The major factors influencing the hospitalization cost were length of hospitalization, whether surgery, whether the ICU, the top 3. The influence coefficient of the operation on hospitalization days was 0.256, the direct effect on hospitalization expenses was 0.331, and the direct influence coefficient of hospitalization days on hospitalization expenses was 0.559. Conclusions The main factors affecting the hospitalization expenses of patients with head trauma are days of hospitalization, operation and care room. To better control hospitalization costs, diagnostic-related grouping (DRGs) can be used. ?