基于马氏田口方法的单病种成本影响因素优化选择.pdfVIP

第 15 卷第 5 期 工业工程 Vol. 15 No 当 2012 年 10 月 Industrial Engineering Joumal Oclober 2012 doi! 10. 39印I/j.i回 n.1 ∞ 7-7375.2012.05 创 3 基于马氏田口方法的单病种成本影晌因素优化选择 高妮妮， :XtJ 子先 {天津大学管理与经济学部，天津 3仅陆，72) 摘要:针对以往统计方法基于各种假设前提、因素判断过程复杂、计算量大的缺点，为更准确有效地选择出影响单病 种成本的关键因素，提出利用马氏田口方法对单病种成本的影响因素进行优化选择。在对以往单病种影响因素研 究回颐和对马氏田口方法介绍的基础上，以某医院单纯性阑尾炎病种为例，利用马氏回口方法对阑尾炎成本的影响 因素进行选择识别，用选择后的因素对病种成本进行回归预测拟合度达 82% 。研究结果表明马氏田口对单病种成 本影响因素优化选择具有有效性.为单病种成本影响因素选择提供了一种有效的方法。 关键询:马氏田口方法，单病种成本;影响因素 中图分类号 :0212 文献标志码， A 文章编号 1 ∞7-7375(2012)05 ∞ 15-06 Application of Mahalanobis-Tagucbi Metbod to Optimal Selection of Inflnential Factors for Single Disease Cost Analysis Gao Nì-町， Liu Zi -xian ( College of Management Econom?cs , T?anjin University. Tianjin 3仅归72. 巳 hina) Abstract: To analy7.p. the rlisease cost by existing statistical methods , it is based on premise of hypothesis , the judgment process is complex ~ and it involves large amount of computation. To Qvercome these short? comings , the key is how to select the .influential factors. In this pap凹， Mahalanobi8-Taguchì i8 proposed tD do 50 for single disease cost analysis. Based on 由 e relat凹e factors in the literature I a c沼se study for p旧e appendicìtis in a hospital i8 conducted. By u8ing Mahalanobis-Taguchì method , influential factors are 回 F lected such that the fiu?ng degree of regress?on reaches 10 82%. This implies that the method is efIectìve and practicalJy appJicahJe. Key words: Mahalanobi8-Taguchi method; 8ingle di8ea8e C08t; influentiaJ factors 单病种付费是指针对单一种疾病患者从