北京市某三甲医院非计划再入院病例医疗费用调查分析.docVIP

北京市某三甲医院非计划再入院病例医疗费用调查分析 　　摘要：目的 了解北京市某三甲医院非计划再入院病例住院费用的分布。方法 描述性分析出院后当天非计划再入院病例及住院费用的生态学分布；通过散点图对出院后当天非计划再入院患者各医疗费用与年龄进行相关性分析。结果 该医院单病种非计划再入院病例高发的前三位疾病分别是脑梗死、冠状动脉粥样硬化性心脏病、恶性肿瘤。同时随着年龄增加，非计划再入院病例的医疗费用支出也有增加（新生儿除外）。结论 年龄是非计划再入院病例医疗费用支出考虑的重要因素之一，再入院病例医疗政策应重点应关注新生儿人群、50岁以上老年人群及患有脑梗死、冠状动脉粥样硬化性心脏病、恶性肿瘤的高危患者人群。 　　关键词：住院病例；非计划；当天再入院；住院费用 　　Investigation and Analysis on the Medical Expenses of Non Planned Re-hospitalization Cases in Rade a Class-three Hospital in Beijing 　　YAN Yue-qin，MA Xie-min 　　（School of Public Health，Peking University，Beijing 100191，China） 　　Abstract：Objective To understand the ecological distribution of the cost of unplanned readmission in one Third-level Grad A Hospital in Beijing. Methods The descriptive analysis of the ecological distribution of the cost of unplanned readmission within same day， including the contents of age， sex， condition while admission， hospitalization Days， diagnosis of diseases， whether has complications， whether had operation， inpatient department and inpatient costs etc. The correlation analysis between the medical expenses and the age of the patients who were readmission after discharge in the same day was analyzed by the scatter plot. Results The top three cases of unplanned readmission of single disease in that hospital were cerebral infarction，coronary atherosclerotic heart disease and malignant tumor. At the same time， with the increasing of age， unplanned readmission patients medical expenses also increased （except the newborn）. Conclusion Age is one of the important factors to consider the medical expenses of unplanned readmission cases， medical policy of readmission cases should focus on the newborn population， 50 years of age and older population and patients with cerebral infarction， coronary atherosclerotic heart disease， high-risk patients with malignant tumors. 　　Key words：Inpatient case；Unplanned；Readmission in the same day；Inpatient expenses 　　目前中国已经进入了老龄化社会，在医院住院及多次入院的患者中，老龄人口所占的比重较大，由于老年患者、慢性病患者、共病患