海南省某三甲医院急性阑尾炎的住院费用结构及影响因素分析
DOI:
CSTR:
作者:
作者单位:

海南医学院

作者简介:

通讯作者:

中图分类号:

基金项目:


Analysis on Composition and Influential Factors of Inpatient Expenses For Single-diagnosed Disease of Acte Appendicitis in Certain Grade-three General Hospital in Hainan Province
Author:
Affiliation:

Hainan Medical University

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    目的:通过对海南省某三甲医院急性阑尾炎患者的住院费用及影响因素的分析,找出住院费用结构中存在的问题及影响住院费用的主要因素,为控制医疗费用过度增长提供科学依据。方法:采用单因素和多因素分析方法对住院费用的影响因素进行分析。结果:住院费用结构中,检查化验等有形服务费用比重偏高,手术、护理、诊察等无形服务费用比重偏低;住院天数、是否手术、年龄、性别等四个因素对住院费用有显著影响。建议:加强医疗服务成本核算,建立科学合理的定价机制,严控有形服务的增长,加大对无形服务的补偿。

    Abstract:

    Objective:Through analysis of inpatient expense of appendicitis and its influencing factors in a 3 A grade Hospital in Hainan Province, the paper aims to investigate the composition of inpatient expenses and the influencing factors, and thus offer reference for controlling excessive increase of inpatient expense.Methods:In the study, univariate analysis and multivariate analysis are used. Results: It is found that the percentage of the visible service (including examination expenses and laboratory test expenses) is on the high side, while the percentage of the invisible service fee (including operation expenses, nursing expenses and diagnostic expenses) is on the low side. Such four factors have significant effects on the impatient expense: the number of hospitalization days, age and gender of the patient, and whether the patient undergoes an operation or not. Suggestion: Medical service cost accounting should be strengthened; scientific and rational pricing mechanism should be set up; the growth of the visible service should be strictly controlled; and the invisible service should be compensated to a greater degree.

    参考文献
    相似文献
    引证文献
引用本文
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2014-02-27
  • 最后修改日期:2014-03-28
  • 录用日期:2014-06-27
  • 在线发布日期:
  • 出版日期:
文章二维码