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目的:研究新生儿常见病种住院费用的影响因素,探讨控制新生儿住院费用过快增长的对策。方法:采用回顾性调查研究的方法,对某地市级医院2003～2006年4年间以新生儿窒息、新生儿缺氧缺血性脑病及新生儿吸入性肺炎为主诊断住院的833例新生患儿的费用情况及相应的人口、社会经济学特征和临床特征进行调查,用多元逐步回归法分析各种可能因素对住院费用的影响。结果:虽然病种不同,影响因素有所不一,但住院天数、是否输氧为各病种住院费用的共同影响因素,而住院天数的长短又取决于出院情况、有无输血、有无次要诊断、胎龄和体重情况等。结论:加强上述因素,尤其是一些可控因素的管理可防止新生儿费用的过快增长。
Objective: To study the influencing factors of hospitalization cost of newborns common diseases and to explore the countermeasures to control the excessive growth of hospitalization expenses of newborns. Methods: A retrospective study was conducted to investigate the prevalence of neonatal asphyxia, neonatal hypoxic-ischemic encephalopathy and neonatal aspiration pneumonia among 833 newly diagnosed inpatients in a municipal hospital from 2003 to 2006 Children’s costs and the corresponding demographic, socio-economic characteristics and clinical features of the investigation, the use of multiple stepwise regression analysis of various possible factors on the cost of hospitalization. Results: Although different diseases and different influencing factors, the number of days of hospitalization and whether or not oxygen is the common factor affecting the hospitalization costs of various diseases, the length of hospital stay depends on the discharge, whether transfusion, secondary or not Diagnosis, gestational age and weight and so on. Conclusion: Strengthening these factors, especially the management of some controllable factors, can prevent the excessive growth of newborn’s expenses.