269例10万元以上住院费用及影响因素分析

目的分析高额住院费用的成因及影响因素,以控制医疗费用的过快增长.方法选择某综合医院2002年住院费用在10万元以上的病例共269例,分析其费用构成,并对其影响因素进行多元回归分析.结果269例病人的平均费用为159 765元,以治疗费最高,所占比例为51.32%,药费其次,所占比例为36.25%.住院费用的影响因素为:住院天数、院内感染和预后.结论降低过高的住院费用要缩短无效住院日、控制院内感染以及减少无效的治疗和用药.

Analysis of hospitalization expenses and the relevant factors for 269 cases with more than 100 000 Yuan

Objective To analysis the causes of high hospitalization expenses and the relevant factors, so as to control the increase expenses. Methods 269 cases with more than 100000 yuan from a polyclinic were selected, and the hospitalization expenses composition was analyzed, multivariate regression analysis was used to determine the factors influencing the cost. Results The average hospitalization expenses for 269 patients were 159765 yuan, 51-32% of the total cost was attributed to treatment, and 36-25% to medications. The factors influencing hospitalizatione xpenses included LOHS, prognosis and nosocomial infection. Conclusion In order to reduce too high hospitalization expenses, invalid LOHS should be condensed, invalid treatment and medications should be reduced, and nosocomial infection should be controlled.