摘要
目的探讨脑梗死患者的住院费用结构变动及其影响因素,为有效控制脑梗死费用增长,减轻患者经济负担提供参考方法。方法收集某医院2020年1月1日至2024年10月31日病案统计管理系统主要诊断为脑梗死患者的病案首页信息,运用结构变动度法分析住院费用内部构成的变动情况,采用多元线性回归分析法分析脑梗死患者住院费用的影响因素。结果住院费用构成中,占比最高的是药品费(33.10%),其次是检查费(19.98%)和检验费(17.83%)。2020—2024年脑梗死患者住院费用结构变动度为13.61%,结构变动贡献率前3位分别是耗材费(23.44%)、药品费(17.63%)和治疗费(14.55%)。多元线性回归分析结果显示,住院天数、入院途径、是否手术是脑梗死患者住院费用的主要影响因素(P<0.05)。结论脑梗死患者的住院费用总体呈下降趋势,耗材费和药品费是影响住院费用的主要内部因素。此外,住院天数、入院途径和是否手术也对住院费用有较大影响。需进一步优化费用结构,规范诊疗过程,提高医疗技术水平,合理缩短住院时间。
Objective To explore the structural changes and influencing factors of hospitalization costs of patients with cerebral infarction,and to provide a reference for controlling the increase of cerebral infarction cost and reducing the economic burden of patients.Methods The medical record statistical management system of the sample hospital was utilized to gather the first-page information from the medical records of patients mainly diagnosed with cerebral infarction from January 1,2020 to Octo-ber 31,2024.The structural change degree method was applied to analyze the changes in the internal composition of hospitaliza-tion expenses,and multiple linear regression was employed to examine the influencing factors of hospital costs for patients with cerebral infarction.Results In the composition of hospitalization costs,pharmaceutical costs accounted for the highest proportion(33.10%),followed by examination expenses(19.98%)and laboratory test expenses(17.83%).The top three contributors to the structural change in terms of contribution rate were medical consumables costs(23.44%),pharmaceutical costs(17.63%),and treatment costs(14.55%).Multiple linear regression analysis indicated that length of stay,model of admis-sion and surgical intervention were the main factors affecting the hospitalization cost of cerebral infarction patients.Conclusion The hospital costs of patients with cerebral infarction show a downward trend,and medical consumables costs and pharmaceutical costs are the main internal factors affecting hospitalization expenses.In addition,length of stay,model of admission and surgical intervention are also proved to have a significant impact on hospitalization expenses.It is necessary to further optimize the cost structure,standardize the diagnosis and treatment process,enhance clinical expertise,and appropriately reduce length of stay.
作者
濮茹
Pu Ru(Medical Records Department,The Second Hospital of Jiaxing,Jiaxing 314000,China)
出处
《中国医院统计》
2026年第1期49-54,共6页
Chinese Journal of Hospital Statistics
关键词
脑梗死
住院费用
影响因素
结构变动度
cerebral infarction
influencing factor
hospitalization cost
structural variation
