急性心肌梗死患者住院费用分析

目的 了解急性心肌梗死患者住院费用,为合理控制住院费用提供依据.方法 回顾性分析某三甲医院2006-2010年急性心肌梗死患者的相关信息,了解其住院费用基本及构成情况,并采用灰色关联性分析判断各分项费用与住院总费用的相关程度.结果 急性心肌梗死患者以老年男性居多;手术组人均住院总费用呈下降趋势,材料费、药费及手术费所占的比例较大但对住院总费用影响较小;非手术组人均住院总费用呈上升趋势,药费及检查费在住院总费用中所占比例较大但对住院总费用影响较小.结论 合理控制材料费用,做到合理检查、规范用药,同时减少无价值住院日.

Influential factors of medical expense of acute myocardial infaction patients

Objective To understand the hospitalization expenses of the acute myocardial infarction patients, and pro- vide basis for reasonable control of hospitalization expenses. Methods Retrospective analysis of acute myocardial infarction pa- tients from 2006 to 2010, understanding its basic costs and composition, and uses grey relation analysis to determine the effect on the total hospitalization expenses. Results Most patients is elderly male people; the per capita costs operation group is decli- ning, the cost of materials ,medicine and operation take up larger proportion but less effect on the total hospitalization expenses; per capita total costs rising of non operation group, medicine and inspection charges take up a larger proportion but also less effect on the total hospitalization expenses. Conclusion Rational control of material costs, make inspection and drug use standard- ized, and reduce non-value-adding patient days.