某市剖宫产和顺产分娩住院服务与药品利用分析.pdfVIP

中国药物应用与监测 2011年6月第8卷第3期 Chinese Journal of Drug Application and Monitoring, Vol.8, No.3, June 2011 某市剖宫产和顺产分娩住院服务与药品利用分析 1 2 3 （1. 北京大学公共卫生学院，北京 100191 ；2. 人力资源和社会保障部社会保障研究所，北京 100029 ；3. 范长生 ，董朝晖 ，吴久鸿 解放军306 医院药学部，北京 100101 ） [摘要] 目的：利用2008 年度某市医保数据库的信息，对不同分娩方式的住院服务与药品利用进行比较分析。方法：研究数 t t 据经SPSS15.0 软件进行分析。对两种不同分娩方式的各项指标进行比较，并用 检验和 ’检验（方差不齐时）进行统计学 检验。结果：样本人群的剖宫产率为65.62% 。剖宫产分娩次均住院天数为9.26 d ，次均住院费用为4 896.87 元，保险基金补 偿比为67.89% 。顺产分娩次均住院天数为7.5 d ，次均住院费用为2 952.80 元，保险基金补偿比为60.12% 。结论：剖宫产分娩 患者和顺产分娩患者住院费用差异主要由西药费、材料费和手术费这三项的费用差异导致。对药品的使用情况进行分析发 现，无论剖宫产还是顺产分娩，都存在抗生素不合理使用的现象。 [关键词] 剖宫产；顺产；住院服务利用；药品利用 [ 中图分类号] R969.3 [ 文献标识码] A [ 文章编号] 1672 – 8157(2011)03 – 0185 – 04 Analysis on the differences in inpatient service and drug utilization between cesarean section delivery and natural delivery 1 2 3 FAN Chang-sheng ，DONG Zhao-hui ，WU Jiu-hong ( 1. School of Public Health, Peking University, Beijing 100191, China; 2. Institute of Social Security of MOHRSS, Beijing 100029, China; 3. Department of Pharmacy, 306 Hospital of PLA, Beijing 100101, China ) [ABSTRACT] Objective: To compare and analyze the differences of medical consumption between cesarean section delivery and natural delivery. Using SPSS15.0 data analysis software, parameters of the two different delivery ways were compared, Methods ： and the statistical test t-test or t ’-test was applied. The percentage of cesarean section in whole sample population was Results ： 65.62% and average time of stay-in-hospital was 9.26 days. The average cost for cesarean was 4 896.87 yuan and the rate of insurance compensation was 67.89%. Comparing with that, the natural delivery only need 7.5 days stay in hospital and cost 2 952.80 yuan with 60.12% insu