首页|非重症成人社区获得性肺炎患者住院费用及影响因素研究

非重症成人社区获得性肺炎患者住院费用及影响因素研究

Study on Hospitalization Expenses and Influencing Factors of Noncritical Community-Acquired Pneumonia Adults

扫码查看
目的 分析某市属医院 2022 年非重症成人社区获得性肺炎患者住院费用,探讨其影响因素,为管理提供理论参考.方法 筛选呼吸内科该病种住院患者信息,通过描述性统计、spearman相关性分析、两组别Mann-Whitney U检验、多组别Kruskal Wallis H检验和Jonckheere Terpstra检验,多元线性逐步回归,阐释费用及影响因素.结果 费用受年龄、医保类型、临床路径管理、住院天数、伴随疾病数量、检查费占比、护理费占比等因素影响,且护理费占比影响最大,而检验费占比最高,为 45.64%.结论 医院应加强病种管理,优化费用结构,深化医保支付改革,科室也应进一步凸显医疗服务价值,借力临床路径等管理工具,提升医疗质量,加强疾病严重程度评估,提早预防.
Objective To analyze the hospitalization expenses of non-critical adult community-acquired pneumonia(CAP)patients in a municipal hospital in 2022,explore its influencing factors,and provide theoretical reference for management.Methods Information on patients hospitalized for this condition in the department of respiratory medicine was screened out.Descriptive statistics,spearman correlation analysis,two-group Mann-Whitney U test,multi-group Kruskal Wallis H test,Jonckheere Terpstra test,and multivariate linear stepwise regression were used to explain the expenses and influencing factors.Results The hospitalization expenses were affected by age,type of medical insurance,clinical pathway management,length of stay,number of concomitant diseases,proportion of examination expenses,and proportion of nursing expenses.The proportion of nursing expenses has the largest impact,while the proportion of examination expenses was the highest(45.64%).Conclusion Hospitals should strengthen disease management,optimize the cost structure,and deepen the medical insurance payment reform.Departments should also further emphasize the value of medical services,leverage clinical pathways and other management tools to improve medical quality,strengthen the assessment of disease severity and early prevention.

HospitalCommunity-acquired pneumoniaHospitalization expenses

焦云、李森华

展开 >

杭州市第九人民医院

医院 社区获得性肺炎 住院费用

杭州市卫生科技一般项目

B20200695

2024

医院管理论坛
北京大学

医院管理论坛

影响因子:0.807
ISSN:1671-9069
年,卷(期):2024.41(5)