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目的:探讨影响8种常见妇幼疾病住院医疗费用的主要支配因子,为控制住院医疗费用的过度增长提供理论依据与实践启示。方法:以参加全国医疗机构成本监测的62家医院的8种常见妇幼疾病416例为样本,采用因子分析方法,对各项医疗费用进行实证分析。结果:手术检验费因子、护疗费因子、诊察药品费因子是支配住院医疗费用的3个关键因子。结论:控制妇幼医疗费用的过度增长,应重点控制药品费、治疗费和手术费。
OBJECTIVE: To explore the main controlling factors that affect the cost of inpatient medical services for 8 kinds of common maternal and child diseases, and provide theoretical basis and practical enlightenment for controlling excessive growth of hospitalized medical expenses. Methods: A total of 4168 maternal and child diseases in 62 hospitals participating in the cost monitoring of medical institutions in our country were selected as samples. Empirical analysis was conducted on various medical costs using factor analysis. Results: Surgical examination fee factor, nursing fee factor, and drug cost factor were the three key factors that dominated the cost of hospitalization. Conclusion: To control excessive growth of maternal and child health care costs, drug charges, treatment fees and operation fees should be controlled.