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目的:分析新疆基层医院住院患者日间接医疗费用情况,为卫生资源的合理配置提供科学依据。方法:对新疆福海、阜康、富蕴、洛浦4个样本县市,调查日所有住院患者日间接医疗费用情况进行现场问卷调查研究。结果 :(1)县级医院住院患者日间接医疗费用高于乡级医院患者(P﹤0.001)。(2)县级医院不同科室住院患者日间接医疗费用水平不同(P<0.05)。(3)县乡基层医院前5位系统性疾病中,不同系统疾病患者日间接医疗费用水平不同(P<0.05)。结论:不同级别基层医院、不同疾病系统住院患者日间接医疗费用不同,且县级医院不同科室住院患者日间接医疗费用不同。
Objective: To analyze the daily medical expenses of inpatients in primary hospitals in Xinjiang and provide scientific basis for rational allocation of health resources. Methods: A field survey was conducted on the daily medical costs of all hospitalized patients in Fuhai, Fukang, Fuyun and Luopu counties in Xinjiang, and on the survey day. Results: (1) The inpatient daytime medical costs of county hospital were higher than those of township hospital (P <0.001). (2) The day-to-day medical costs of hospitalized patients in different departments of county hospitals were different (P <0.05). (3) Among the top 5 systemic diseases in primary and secondary hospitals in county and township hospitals, the costs of indirect medical treatment for patients with different diseases were different (P <0.05). CONCLUSION: Inpatients in different levels of grass-roots hospitals and different disease systems have different day-to-day medical costs, and hospitalized patients in different county-level hospitals have different day-to-day medical costs.