首页|新疆维吾尔自治区2016-2020年精神疾病住院费用分析

新疆维吾尔自治区2016-2020年精神疾病住院费用分析

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目的 分析新疆维吾尔自治区精神疾病患者的住院费用情况及影响因素,为降低患者住院经济负担提供依据。方法 运用分层整群随机抽样法,从医院质量监测系统抽取2016-2020年72所医疗卫生机构病案首页信息,采用灰色系统建模软件计算费用项目的关联程度,以多元线性回归模型分析住院总费用的影响因素。结果 精神疾病住院均次费用为14 452。19元,患者住院费用变动因素前三位依次是检查费、检验费、诊疗费,三者贡献率为64。80%;住院天数、医院级别、31天内再住院计划、精神量表使用情况是精神疾病住院费用的主要影响因素(P<0。05)。结论 医院检查费造成了较多的住院费用结构变动,技术型服务费涨幅缓慢,价格调整滞后;应构建客观诊疗体系、优化资源配置降低住院费用。
Analysis of Hospitalization Expenses of Mental Diseases in Xinjiang Uygur Autonomous Region from 2016 to 2020
Objective To analyze the influencing factors of hospitalization costs for patients with mental illness in Xinjiang,and to provide theoretical data for reducing the economic burden of hospitalization.Methods The stratified cluster random sampling method was used to extract the first page information of medical records of 72 medical and health institutions from the hospital quality monitoring system from 2016 to 2020.The grey modeling software was used to calculate the correlation degree of the cost items,and the multiple linear regression model was used to analyze the influencing factors of the total hospitalization expenses.Results The average cost of hospitalization for mental illness was 14 452.19 yuan.The top three factors of hospitalization cost change were examination fee,examination fee and treatment fee,with the contribution rate of 64.80%;Length of stay,hospital level,re-hospitalization plan within 31 days and the use of psychiatric scale were the main influencing factors of hospitalization cost for mental ill-ness.Conclusion The examination fee caused more changes in the structure of hospitalization cost,and the technical service fee increasing slowly and the price adjustment lagged behind.Therefore,we should construct an objective diagnosis and treatment system and optimize the allocation of resources to reduce hospitalization cost.

Mental illnessHospitalization expensesFactor analysis

阿吉古力·阿不都克力木、姜丽、地娜、陈霞

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新疆医科大学第一附属医院心理医学中心,新疆乌鲁木齐,830054

精神疾病 住院费用 因素分析

新疆维吾尔自治区自然科学基金项目

2020D01C241

2024

中国社会医学杂志
华中科技大学同济医学院

中国社会医学杂志

CSTPCD
影响因子:1.193
ISSN:1673-5625
年,卷(期):2024.41(3)
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