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目的探讨老年人住院医疗费用特点,为建立有效的医疗费用控制机制提供依据。方法对成都市某三级甲等医院8,382例年龄在60岁以上的老年人住院医疗费用进行描述性分析。结果(1)老年人例均住院费用12,237元,高出全院平均费用8,597元的42.3%。(2)老年人例均住院费用和例均药品费与成都市住院患者平均水平的比较差别显著(P<0.05)。(3)70岁~79岁年龄段老年患者平均药费和平均检查治疗费高出一般患者的65.2%和61.9%。结论应针对医院实际情况,进一步加强对老年住院患者住院天数、例均住院医疗费用,药品比例等指标的考核,提倡合理检查,合理用药,控制医疗费用的过快增长。
Objective To explore the characteristics of the inpatient medical expenses of the elderly and provide basis for establishing an effective medical cost control mechanism. Methods A descriptive analysis was conducted on the hospitalization costs of 8,382 elderly people aged over 60 years in a grade III A hospital in Chengdu. Results (1) The average length of hospitalization for the elderly was 12,237 yuan, which was 42.3% higher than the average cost of the entire hospital of 8,597 yuan. (2) There was a significant difference between the average hospitalization cost and the average drug costs in Chengdu and the average inpatients in Chengdu (P<0.05). (3) The average drug costs and the average examination and treatment fees for elderly patients aged 70-79 years were 65.2% and 61.9% higher than those of ordinary patients. [Conclusion] According to the actual situation of the hospital, we should further strengthen the assessment of the number of days of hospitalization for elderly inpatients, the average cost of inpatient medical care, and the proportion of drugs, promote rational inspections, rational use of drugs, and control the excessive growth of medical expenses.