新生儿常见病种住院费用研究及影响因素分析.pdfVIP

《巾阁卫生级济》第 28 穗第 3 期(总臻 313 期 )2∞9 笨 3 月 新生儿常见病种住院费用研究及影晌因素分析 朱胜眷①，赖瑞南② 摘 要:阔的:研究新生儿常见病种位院费用的影响闲杂，探讨拔制新生 JL 位院费用过快增长的对策。方法 z 采用回顾性调查研究的方法，对某地市级隧院 2003-2∞6 年 4 年间以新生儿窒息、新生儿缺氧缺血性脑病及新生)l.. 吸入性肺炎为主诊断住院的 833 例新生患儿的费用情况及相应的人口、社会经济学特征和临床特征进行调蠢，用多 元边步回归法分析各种可能因素对住院费用的影响。结果:虽然病种不同，影响网素有所不一，但位院又4t、是否 输氯为各病种位院费用的共同影响因索，而位院夭数的长短义取决于出院情况、有元输血、有元次要诊断、胎铃和 体重情况等。结论:加强上述闵朵，尤其是一些可 j爱因素的管泼可防止新生儿费用的过快增长。 关键诩:新生儿;住院;费用和收费:成本?成本分析:影响因素 中图分类号:凹24 .5 文献标识码 :A 文章编号: 1 ∞3 -0743(2α防 )03-{旧49-04 Analysis of 也e Hospitalization C侃ts of Thr，例 Neonaω1 Disea附 and iω Inftuencing FacωrsJZHU Sheng-chun, LAI Rui-册nllChinωe Health Econoniω ，却ω，28(3):49-52 Abstract: Objec创刊: To analyze influencing factors of three neonatal diseases and develop prevention strategies. Methods: we retro附ctively studied 833 newboms from 2∞3ω2仪炀 in a municipal hospital, who were hospitalized with neonatal asphyxía, hypoxic -ischemic encephalopathy, or neonatal ωpiration pneumonia. 切le hospitalization costs, social, economic feature and , disease feature of them were collected. Multivariate re伊ession analysis was used to analyze the main influencing factors of costs. I虫.esults: Although the factors on 由e costs of hospitalization are dífferent, but the number o. hospitalization days and oxygen therapy were the main factor窜。n hospital fees. Further analysís of the impact of lengths of stay showed that improved and non -cured newboms had shorted hospitalization days than cured group. The premature children, children with a blood transfus?on or Secondary di咽losis low, and birth weight phildren stayed longer than the c