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目的:通过对广西市属三级甲等综合医院2011年出院患者基本特征及费用分析,了解住院费用的影响因素,为政府和卫生部门控制医疗费用过快增长、完善医疗保险制度、推进新医改进程等提供决策依据。方法:收集2011年广西市属三级甲等医院住院病例374 993例,采用描述性分析方法分析住院患者基本特征及住院费用,采用多重线性回归分析影响住院费用的因素。结果:医院住院费用虚高增长、药费比例过高的现状依然存在。多因素分析提示住院天数、有无手术、年龄、有无输血、入院情况、性别、治疗转归、婚姻状况和支付方式是住院费用的影响因素。结论:广西住院费用控制应以控制住院天数为突破口,调整医疗服务价格体系,减少高额住院费用患者比例,实施单病种管理、优化医院内部流程等来解决。
OBJECTIVE: To analyze the basic characteristics and expenses of outpatients in Grade Three Class A General Hospital of Guangxi in 2011, to understand the influencing factors of hospitalization expenses, to control excessive growth of medical expenses for the government and the health department, to perfect the medical insurance system and to promote the new medical reform Process to provide decision-making basis. Methods: A total of 374 993 inpatients with Grade A hospitals in Guangxi were collected in 2011. Descriptive analysis was used to analyze the basic characteristics of inpatients and hospitalization expenses. Multiple linear regression analysis was used to analyze the factors influencing hospitalization costs. Results: The hospital cost of hospitalization increased skyrocketed, the proportion of drug over the status quo still exists. Multivariate analysis showed that the number of days hospitalized, with or without surgery, age, blood transfusion, admission, gender, treatment outcome, marital status and payment methods were the influencing factors of hospitalization costs. Conclusion: Guangxi hospitalization cost control should be solved by controlling hospitalization days as a breakthrough point, adjusting medical service price system, reducing the proportion of patients with high hospitalization expenses, implementing management of single diseases and optimizing hospital internal processes.