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刘媛媛, 马骏, 李长平, 柯慧, 宋春华, 朱宝, 崔壮. 心肌梗塞患者住院医疗费用及其影响因素分析[J]. 中国公共卫生, 2013, 29(3): 322-324. DOI: 10.11847/zgggws2013-29-03-05
引用本文: 刘媛媛, 马骏, 李长平, 柯慧, 宋春华, 朱宝, 崔壮. 心肌梗塞患者住院医疗费用及其影响因素分析[J]. 中国公共卫生, 2013, 29(3): 322-324. DOI: 10.11847/zgggws2013-29-03-05
LIU Yuan-yuan, MA Jun, LI Chang-ping.et al, . Hospitalization expense and its influencing factors among myocardial infarction patients[J]. Chinese Journal of Public Health, 2013, 29(3): 322-324. DOI: 10.11847/zgggws2013-29-03-05
Citation: LIU Yuan-yuan, MA Jun, LI Chang-ping.et al, . Hospitalization expense and its influencing factors among myocardial infarction patients[J]. Chinese Journal of Public Health, 2013, 29(3): 322-324. DOI: 10.11847/zgggws2013-29-03-05

心肌梗塞患者住院医疗费用及其影响因素分析

Hospitalization expense and its influencing factors among myocardial infarction patients

  • 摘要: 目的分析心肌梗塞患者住院医疗费用构成及其主要影响因素,提出针对性的对策和措施,为合理控制医疗费用提供参考依据。方法收集天津市2004年1月-2007年12月确诊的心肌梗塞患者共1 602例,分析其费用构成,采用多元线性回归筛选住院费用的影响因素。结果天津市2004-2007年心肌梗塞患者人均住院费用为24 428.82元;心肌梗塞患者药品费、检查费、治疗费、手术费、床位费、医用材料费、输全血费、成分输血费和其他费用分别为5 726.42元(23.44%)、2 279.89元(9.33%)、3 017.60元(12.35%)、396.66元(1.62%)、480.37元(1.97%)、12 389.22元(50.72%)、29.33元(0.12%)、76.32元(0.31%)和33.00元(0.14%);多元线性回归分析结果表明,手术与否、医院等级、人员类别、住院次数、住院天数、年龄是住院费用的影响因素(P<0.05)。结论合理减少心肌梗塞病人的住院天数,控制医用材料、药品费用的不合理增长,是降低心肌梗塞患者住院费用的有效措施。

     

    Abstract: ObjectiveTo examine hospitalization expense and its main influencing factors among myocardial infarction patients and to provide references for controlling the excessive increase in medical expense.MethodsTotally 1 602 myocardial infarction patients in Tianjin city were recruited from January 2004 to December 2007.Descriptive analysis and multiple linear regression method were performed.ResultsThe mean hospitalization cost was 24 428.82 RMB Yuan per myocardial infarction patient in Tianjin from 2004 to 2007.The iterms of the hospitalization cost were medicine(5 726.42 Yuan,23.44%),inspection(2 279.89 Yuan,9.33%),treatment(3 017.60 Yuan,12.35%),surgery(396.66 Yuan,1.62%),bed fee(480.37 Yuan,1.97%),materials(12 389.22 Yuan,50.72%),whole blood transfusion(29.33 Yuan,0.12%),blood component transfusion(76.32 Yuan,0.31%),and other costs(33.00 Yuan,0.14%).The results of multiple linear regression showed that surgery,grade of hospital,social-economic status of the patient,number of admission,duration of hospitalization,and age were the main influencing factors of the hospitalization cost.ConclusionThe hospitalization expense of myocardial infarction patients should be reduced by decreasing the duration of hospitalization and controlling the unreasonable increase of material and medicine fee.

     

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