四川省民族地区贫困县与非民族地区贫困县产妇住院分娩费用研究

目的 分析四川省民族地区贫困县和非民族地区贫困县产妇住院分娩费用的现状及影响因素，为降低四川省贫困县产妇的住院分娩费用提供依据。方法 数据来源于四川省卫生健康信息中心住院病人病案首页数据报告系统，采用两水平方差成分模型分析住院分娩费用的影响因素。结果 民族贫困县产妇阴道分娩住院总费用（1 799.99元）低于非民族贫困县产妇（2 927.39元）（Z = 94.88，P＜0.001）；民族贫困县产妇剖宫产住院总费用（5 540.91元）高于非民族贫困县产妇（5 200.41元）（Z = 13.57，P＜0.001）。两水平方差成分模型拟合结果显示，年龄、农民、医疗机构类型、入院情况、分娩方式、出院情况、住院天数是民族贫困县和非民族贫困县产妇住院分娩费用的共同影响因素。结论 分娩方式、住院天数、医疗机构类型是四川省贫困县产妇住院分娩费用的主要影响因素，应重点关注，并采取综合措施，从而达到有效降低住院分娩费用的目的。

Study on the hospital delivery expenditure in poverty counties in ethnic areas and non-ethnic areas of Sichuan Province

To investigate the present situation and influencing factors of hospital delivery expenditure of parturient from poverty counties in ethnic areas and non-ethnic areas of Sichuan province. Methods The data came from the front page of the medical records system owned by the Health Information Center of Sichuan Province. The two-level variance component model was used to identify factors associated with hospital delivery expenditure. Results The expenditure of natural delivery in poverty counties of ethnic areas(￥1799.99) is lower than that in poverty counties of non-ethnic areas(￥2927.39)(Z=94.88,P<0.001). The expenditure of cesarean delivery in poverty counties of ethnic areas(￥5540.91) is higher than that in poverty counties of non-ethnic areas(￥5200.41)(Z=13.57, P<0.001). Age, farmer or not, type of medical institutions,state of admission, delivery mode, state of discharge, and hospitalization days are the factors affecting the hospital delivery expenditure in poverty counties of ethnic areas and non-ethnic areas. Conclusion The delivery mode, hospitalization days,type of medical institutions, are the main factors, which should be paid more attention, and comprehensive measures should be taken to achieve the ultimate objection of effectively reducing the hospital delivery expenditure in poverty counties of Sichuan province.