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南京市生育三病种费用影响因素分析

Analysis of Hospitalization Expense and Its Influencing Factors of Three Kinds of Diseases during Delivery in the Maternity Insurance
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摘要 该文对南京四家医院02~04年的1525倒生育费用构成及影响生育费用的因素进行了分析。结果表明病种、医院等级、住院天数、职业、入院病情和年龄是影响生育费用的主要因素,三级医院和二级医院三病种平均住院费用差异显著(P值〈0.05),床位费、检查费、材料费和药品费为生育保险三病种各项费用中的前四位,三病种中剖宫产占45.2%,比例过高。因此要严格控制剖宫产率,降低不合理用药和检查,积极探索生育保险付费方式改革。 The data of 1525 delivery cases in four hospitals in Nanjing from 2002 to 2004 were used to analyze the hospitalization expense and its influencing factors.The results showed that the main influencing factors were disease,hospital,length of stay,occupation, conditions of disease and age etc .The difference of the average hospitalization expense was remarkable ( P 〈 0.05 ) between tertiary hospitals and secondary hospitals.Bed fee,cheek-up fee, material fee and drug fee were leading among items.The cases of caesarean accounted for 45.2% and the proportion was higher.It should strictly control the proportion of caesarean and decrease unreasonable checkup and drug,and at the same time reform the type pf payment in the maternity insurance.
作者 杨树东 张晓
出处 《中国卫生事业管理》 2006年第8期488-489,共2页 Chinese Health Service Management
关键词 生育保险 病种费用 影响因素 Maternity insurance Hospitalization expense Influencing factors
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