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目的:了解新型农村合作医疗患者住院费用的分布及其影响因素,探索控制住院费用的措施。方法:调查了2008年8月-2011年8月住院费用的正态性分布,对可能的影响因素进行相关性分析。结果:提示药占比、实际住院天数、合并其他疾病及手术与否是主要影响因素,尤以药占比较为集中和突出。结论:建议从医院和科室两个层面把控制药占比和住院天数作为主要监控指标,并采取有效的干预措施。
OBJECTIVE: To understand the distribution of hospitalized expenses and its influencing factors in patients with new-type rural cooperative medical system and to explore the measures to control the cost of hospitalization. Methods: The normal distribution of hospitalization expenses from August 2008 to August 2011 was investigated, and the possible influencing factors were analyzed. Results: Proportion of prompting medicine, actual days of hospitalization, combined with other diseases and surgery or not are the main influencing factors, especially medicine is more concentrated and prominent. Conclusion: It is suggested that the proportion of controlled drugs and hospitalization days should be taken as the main monitoring indicators from both the hospital and the department level, and effective intervention measures should be taken.