北京市某三级医院脑出血住院患者费用及其影响因素分析
Analysis of Inpatient Costs and Influencing Factors for Cerebral Hemorrhage in a Tertiary Hospital in Beijing
张露平1
作者信息
- 1. 北京市大兴区人民医院病案管理科,北京市,102600
- 折叠
摘要
目的 探讨北京市某三级医院脑出血住院患者费用构成及其影响因素,为脑出血患者出院费用能有效的控制提供参考借鉴.方法 选取北京市某三级医院病案系统2022年1月1日-12月31日出院4280例住院脑出血患者的总费用及构成情况,采用单因素方差分析和多元逐步回归分析法对住院费用的影响因素进行统计分析.结果 4280 例脑出血出院患者人均住院费用为 23 334.37 元,西药费占比居于首位,达到 38.25%;手术费和治疗费次之,分别占比 36.41%和 25.34%.比较危重和非危重治疗的出院患者,危重患者平均住院费用增加 8322.23元,差异具有统计学意义.结论 多因素分析结果显示是否危重、年龄、性别、住院天数是影响脑出血住院患者住院费用的主要影响因素,其中是否危重对出院费用影响最大.脑出血出院患者住院费用较高,其产生的经济负担较重,医院要积极制定政策,合理科学地控制医疗费用的支出,提高医院的管理水平和工作效率.
Abstract
Objectives This study aims to explore the cost composition and influencing factors of inpatients with cerebral hemorrhage in a tertiary hospital in Beijing and to provide a reference for effective control of discharge costs for cerebral hemorrhage patients.Methods The total cost and composition of 4280 hospitalized patients with cerebral hemorrhage who were discharged from the medical record system of a tertiary hospital in Beijing from January 1 to December 31,2022 were selected.Single-factor analysis of variance and multiple stepwise regression analysis were used to statistically analyze the influencing factors of hospitalization costs.Results The average hospitalization cost per person for 4280 discharged patients with cerebral hemorrhage was 23334.37 yuan,with Western medicine accounting for the highest proportion,reaching 38.25%.Surgical expenses and treatment expenses took second place,accounting for 36.41%and 25.34%respectively.Compared with critically ill and non-critically ill discharged patients,the average hospitalization expenses for critically ill patients increased by 8322.23 yuan,and the difference was statistically significant.Conclusions The results of multivariate analysis showed that the main influencing factors on hospitalization expenses for patients with cerebral hemorrhage were severity,age,gender,and length of stay.Among them,severity had the greatest impact on discharge expenses.The hospitalization cost of discharged patients with cerebral hemorrhage is relatively high,and its economic burden is heavy.Hospitals should actively formulate policies,reasonably and scientifically control medical expenses,and improve hospital management level and work efficiency.
关键词
脑出血/影响因素/住院/费用Key words
Cerebral hemorrhage/Influencing factors/Hospitalization/Cost引用本文复制引用
出版年
2024
NETL
NSTL
万方数据