论文部分内容阅读
目的:探讨医保与非医保脑梗塞病人的住院费用构成及其影响因素。方法:选择2009年1月1日到12月31日在某院住院的脑梗塞病人361例,对医保与非医保脑梗塞病人的一般情况、住院费用进行比较,并采用多元逐步回归模型对住院费用的影响因素进行综合分析。结果:①除检查比、日均费用外,脑梗塞医保患者的住院费用、住院天数比非医保患者多(P<0.05);②脑梗塞医保和非医保病人的住院费用构成以药费、检查费和治疗费为主;③影响医保患者住院费用的主要因素为住院天数、病例分型、检查比;影响非医保患者住院费用的主要因素是住院天数、病例分型、检查比和药占比。结论:在保证服务质量的前提下,缩短住院天数、控制药占比、减少检查费是脑梗塞患者住院费用控制的核心环节。
Objective: To explore the composition of hospitalization expenses and its influencing factors in medical insurance and non-medical insurance cerebral infarction patients. Methods: A total of 361 cerebral infarction patients hospitalized in a hospital from January 1 to December 31, 2009 were selected to compare the general situation and hospitalization costs between medical insurance and non-medical cerebral infarction patients. Multivariate stepwise regression Cost factors for a comprehensive analysis. Results: ①In addition to the examination, the average daily cost, the hospitalization expenses and days of hospitalization of patients with cerebral infarction were higher than that of non-medical insurance patients (P <0.05); ②The cost of hospitalization of medical insurance and non- The main factors affecting the hospitalization expenses of medical insurance patients were days of hospitalization, case classification and examination ratio; the main factors affecting the hospitalization expenses of non-medical insurance patients were days of hospitalization, case type, examination ratio and medicine proportion . Conclusion: In the premise of ensuring the quality of service, shortening the length of hospital stay, controlling the drug ratio and reducing examination fees are the core links of hospitalized patients with cerebral infarction.