| 引用本文: |
尹红燕,王珩,李念念,等.安徽省县级公立医院脑梗死住院患者费用分析[J].中国卫生经济,2017,(3):49-52.[点击复制] |
.Analysis of Hospitalization Expenses for Cerebral Infarction Patients in the county public hospital of Anhui Province[J].CHINESE HEALTH ECONOMICS,2017,(3):49-52.[点击复制] |
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| 摘要: |
| 目的：分析安徽省县级公立医院脑梗死患者住院费用及其结构变化，探究其影响因素。方法：从安徽省新农合平台收集2011-2015年12家县级公立医院脑梗死住院患者费用清单，对脑梗死患者费用结构、变化趋势进行描述性分析，对其影响因素采用多元线性回归。结果：近五年，安徽省脑梗死住院患者人次、总费用、次均费用、检查费、材料费和化验费呈增加趋势；平均住院日、药占比呈下降趋势；皖中、皖北、皖南费用依次降低，皖中费用是皖南的两倍。平均住院日、性别、地区、是否按病种付费、是否实施临床路径为住院费用主要影响因素。结论：控制脑梗死住院患者费用增长，应从控制脑梗死发病率、优化脑梗死住院费用结构、加强临床路径管理建设、推进按病种支付方式改革等方面综合干预。 |
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| Analysis of Hospitalization Expenses for Cerebral Infarction Patients in the county public hospital of Anhui Province |
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| Abstract: |
| To analyze the influencing factors and structural changes of the hospitalization Expenses for cerebral infarction in the county public hospital of Anhui Province. Methods: Medical and billing records of cerebral infarction patients who received treatments in 12 county public hospitals in Anhui from 2011 to 2015 were obtained, using descriptive analysis on the cost structure and the trend of the change in cerebral infarction patients, and using multiple linear regression analyze its influencing factors. Results: the number of hospitalizations，total cost of hospitalizations, average cost of hospitalizations, examination fees, materials fees and test fees were all increased; the average days of hospitalization and average proportion of medicine were decreased; The cost around northern southern and central part in Anhui is not balanced; the average days of hospitalization , gender, region, whether using the case-based payment and the clinical pathway as the main factors . Conclusion: Controlling the growth of the cost in patients with cerebral infarction,, we should reduce the incidence rate of cerebral infarction, optimize the cost structure in cerebral infarction, implement the clinical pathway and case-based payment reform, and so on. |
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