摘要
目的:探讨急性阑尾炎和老年白内障病人不必要住院费用的影响因素。方法:随机抽取2002—2005年间在胜利石油管理局中心医院和胜利医院住院的急性阑尾炎病人287例及老年白内障病人247例,按照性别、年龄、住院天数、输液天数和保险方式等情况,对2个病种病人的不必要住院费用进行分析。结果:急性阑尾炎病人有10.27%的住院费用是不必要费用,主要以药品费和检查费为主,其影响因素主要有职业、住院天数、输液天数、住院年份和使用抗生素的种类;老年白内障病人有12.13%的住院费用是不必要费用,主要以检查费和床位费为主,其影响因素主要有职业、住院天数、保险方式、住院年份和使用抗生素的种类。结论:在保证服务质量的前提下,控制单病种不必要住院费用要以缩短平均住院日为突破口,制定单病种限价服务标准,降低药品费和检查费。
Objective. To explore the affecting factors of the unnecessary hospitalization expenses for acute appendicitis and cataract inpatients. Method： 287 cases with acute appendicitis and 247 cases with cataract in two tertiary hospitals between 2002 and 2005 are selected into the sample. The unnecessary hospitalization expenses for acute appendicitis and cataract inpatients are analyzed according to the inpatients＇ sex, age, hospitalization duration, transfusion duration and medical insurance system. Results： There are 10.27% hospitalization expenses of acute appendicitis inpatients are unnecessary most of which are the fee for drug and l examination, and occupation, hospitalization duration, transfusion duration, hospitalization year and the variety of antibiotic are the mainly affecting factors. There are 12.13% hospitalization expenses of cataract inpatients are unnecessary most of which are the fee for examination and bed, and occupation, hospitalization duration, medical insurance system, hospitalization year and the variety of antibiotic are the mainly affecting factor. Conclusion： The emphasis in controlling the unnecessary hospitalization expenses for simplex disease should be put on shortening hospitalization duration, making services on price fixing, reducing the fee for drug and examination under guaranteeing against lowering quality.
出处
《中国卫生经济》
2007年第11期30-33,共4页
Chinese Health Economics
基金
胜利石油管理局资助项目。
关键词
单病种
不必要住院费用
影响因素
simplex disease, unnecessary hospitalization expenses, affecting factors
