两单病种病人不必要住院费用及其影响因素分析.pdfVIP

2∞7 军 11 月勇 111咽f申国E主经济第26 卷{且第 297 期) 两单病种病人不必要住院费用及其影晌因素分析* 宋晓飞①鲁吉凌申①王兴洲由刘拥军③渴庆芝⑤ 摘 要 目的.探讨在性阑尾且和老年白内障病人不必、要住院费用的罪响因章。才址:随机抽取2002-2∞5 年 I司在胜利石油管理局中心医院和胜利医院住院的息性阑尾且病人 287 倒且老年白内障病人247 制，接照性别、年龄、 住院主盘、输液天盘和保险方式等情况，时2 个晴种病人的不f必要住院费用进行分析。结果:息性阑尾且病人有 10.27% 的住院费用是本晶要费用，主要目药品费和检查费为主，其需响因素主要有职业、住院无数、晴在五址、住 院年份和使用抗生贵的种是;老年白内障搞人有 12.1 3% 的住院费用是不必、要费用，主要目检查费和且位费为主，其 影响罔章主要有职业、住院五盘、保险方式、住院年份和使用抗生幸的种桌。结论:在保证服#质量的前提下，控制 单病种不必要住院费用要目蠕挂平均住院日为吏破四，制定单病种限价服#梓准，降低药品费和检查费。 美键词单病种不必要住院费用 影响因章 申图分类号: R 197 立献标iR码:A 立章编号: 1αl3-O743(2007)11-∞30-04 Analy曲 00 A1Tec拍电 Factors of Unnec四saηH嗣pitalization Expen瞄 for Two Simpl四Dise幽幽/SONG Xiao- f时， XU Ling-zbon晶 WANG Xing-曲盹.1 al.//Cbin四eH国Ith Economi盹Z腑.26(11):协33 Abstract 0句ec:we: To explore the afIecting factors of the unnec田8田y hospi ta.lization expen田8 for 缸ute appenwcitis and cataract inpatienls. Melhod: 287 c国.. w1由 acute appendiciû自 and 247 cases with catara.ct in two le血ary hospitals he- lween 20ω 阻d 2ω5 are selected inlo 由e 国皿ple.ηle unnecessa可 hospitalization expen田s for acute appendicitis and cataract inpatients are analyzed according to the inpatien恼， sex, age, hospitalization duration, lransfugion duration 血，d medical Însurance system. Res ultJ :四ere 町e 10.27% ho叩ita1ization expens曲。f acute appendicitis inpatients are unnece田ary most of which a四 the fee for drug and lexamination. and occupation. hospitali团tion duration, transfusion du阻.tion， hospi taJ ization year and the varie守。，f antibiotîc are the mainly affecting fadors 咀ere are 12.13% hospitalizatíon expenses of cataract inpatients are unne四8盹叮 most of which are the fee for examination 田d hed. and 田cupation. hospi t.alizalion duration, medical insurance 町stem， hospitalization year 国d 由e vari吨r of antibiotic ar琶 the mainly affecting facto四•