文章摘要
廖宇航,黄小玲,罗丽娟,胡爱华.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[J].南京医科大学学报(社会科学版),2014,(3):191~194
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
Analysis on composition and influential factors of inpatient expenses for acute appendicitis in certain grade A general hospital in Hainan province
投稿时间:2014-02-27  
DOI:doi:10.7655/NYDXBSS20140305
中文关键词: 单病种  住院费用  费用结构  影响因素
英文关键词: single-diagnosed disease  inpatient expense  the composition of inpatient expenses  influencing factors
基金项目:海南省哲学社会科学规划课题 “海南省医疗服务价格的政府规制研究” [HNSK(GJ)14-29],海南省人文医学研究基地课题“海南省医疗费用控制研究” (QRYPT201406)
作者单位
廖宇航 海南医学院管理学院,海南 海口 571199 
黄小玲 海南医学院管理学院,海南 海口 571200 
罗丽娟 海南医学院管理学院,海南 海口 571201 
胡爱华 海南医学院管理学院,海南 海口 571202 
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中文摘要:
      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?结论: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?
英文摘要:
      Objective:By analyzing inpatient expense of appendicitis and its influencing factors in a grade A 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 and multivariate analysis were performed to analyze the influencing factors of inpatient expenses. Results: It was found that the percentage of visible service charge (including examination expenses and laboratory test expenses)was on the high side, while the percentage of invisible service charge(including operation expenses, nursing expenses and diagnostic expenses) was on the low side. Such four factors had 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. Conclusion: Medical service cost accounting should be strengthened,mscientific and rational pricing mechanism should be set up,the growth of visible service should be strictly controlled,and invisible service should be compensated to a greater degree.
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