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目的探讨天津市参加城镇职工基本医疗保险的脑出血患者住院费用构成及其影响因素,为合理控制医疗费用、降低患者经济负担提供参考依据。方法从天津市2003-2007年参加城镇职工基本医疗保险的住院患者资料库中抽取脑出血患者2895例,运用R软件对其住院费用情况进行多元逐步回归分析。结果天津市2003-2007年参加城镇职工基本医疗保险的脑出血患者住院人均总费用中位数为10913.17元,其中药品费占总费用的47.72%,治疗费占25.33%,检查费占10.26%。多元回归分析中影响参保患者住院费用的因素有年龄、住院天数、住院次数、是否手术和医院级别。结论减少患者住院天数和住院次数,可以在二级医院就诊的患者尽量减少去三级医院住院,卫生资源合理配置等途径可以合理控制患者的住院费用。
Objective To explore the composition and influencing factors of hospitalization expenses for patients with cerebral hemorrhage who participated in basic medical insurance for urban workers in Tianjin and provide reference for rationally controlling medical expenses and reducing the financial burden on patients. Methods A total of 2895 patients with cerebral hemorrhage were selected from the inpatients database of urban workers’ basic medical insurance in Tianjin from 2003 to 2007, and the hospitalization costs were analyzed by R stepwise regression using R software. Results The median per capita cost of perioperative patients admitted to basic medical insurance for urban workers in Tianjin from 2003 to 2007 was 10,913.17 yuan, accounting for 47.72% of the total expenses, accounting for 25.33% of the total expenses and accounting for 10.26% of the total costs. Multiple regression analysis of insured patients hospitalization costs of factors such as age, length of stay, number of hospitalizations, whether surgery and hospital level. Conclusions To reduce the hospitalization days and the number of hospitalizations, patients who can be treated in secondary hospitals should try to reduce the hospitalization expenses for third-level hospitals and rational allocation of health resources.