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胆囊结石住院患者直接医疗费用影响因素研究 被引量:1

Factors on Direct Cost of Inpatient with Gall-stone Disease
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摘要 目的分析胆囊结石住院患者医疗费用的影响因素,以达到降低患者医疗负担的目的。方法采用多重线性回归分析的方法对某三甲医院2000—2009年间出院的3 945例胆囊结石患者病案首页信息进行分析。结果胆囊结石手术患者医疗费用的影响因素为住院天数、术式、是否伴有慢性病、费别、入院方式、患者身份、患者年龄、性别和住院年度。结论单病种付费方式可以降低患者费用,控制药费和材料费用是降低单病种费用的关键。 Objective To analysis the association risk factors of direct cost of inpatients with gall-stone disease in order to decrease cost burden of patients.Methods Multiple linear regression was implemented to analysis the associated risk factor on medical recorder of 3945 gall-stone cases in a third level hospital between 2000 to 2009.Results Day of stay in hospital,surgery type,with chronic disease,payment style,type of admission,identity,age,gender,year of admission were associated with direct cost of inpatients with gall-stone disease.Conclusions The policy of single-disease-payment could decreased the direct cost of inpatient with gall-stone disease.Control the use of drug and high-value consumable are key and effective means to decreased patients direct medical cost.
出处 《解放军医院管理杂志》 2010年第6期530-532,共3页 Hospital Administration Journal of Chinese People's Liberation Army
关键词 单病种费用 多元线性回归 胆囊结石 single-disease-payment multiple linear regression gall-stone
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