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目的研究非急诊剖宫产住院费用及影响因素为改进现有临床路径提供新的理论依据。方法抽取某院2015年的非急诊的,以剖宫产手术为分娩方式的住院病案,建立数据库,采用方差分析比较不同分组的住院总费用,并使用多元线性回归分析住院总费用到影响因素。结果 2015年某院平均的住院总费用为6807.00±1952.12元,中位数为6522.11元。手术数量多的患者住院总费用高,基本医保付费的住院患者的住院总费用低于其它付款方式的患者。住院总费用的影响因素有:主要诊断、住院时间、术前等待时间、术后住院时间、手术数量和费用方式。结论控制平均住院日仍然是控制住院总费用的一项有效的手段,对于不同病情的孕产妇要区别对待,合理规划临床路径,有效的减少患者的经济负担。
Objective To study the non-emergency cesarean section hospitalization costs and influencing factors to provide a new theoretical basis for improving the existing clinical pathways. Methods A non-emergency hospitalized 2015 cadaver hospitalized with cesarean section as a mode of delivery was established. A database was constructed. An analysis of variance was used to compare the total cost of hospitalization for different groups. Multivariate linear regression was used to analyze the total cost of hospitalization to the influencing factors. Results In 2015, the average hospitalization cost of a hospital was 6807.00 ± 1952.12 yuan, with a median of 6522.11 yuan. The total cost of hospitalization for patients with a large number of operations is high, and the total hospitalization costs for hospitalized patients with basic medical insurance are lower than those for other payment methods. The main factors influencing the total cost of hospitalization are: main diagnosis, hospitalization time, preoperative waiting time, postoperative hospital stay, operation quantity and cost method. Conclusion Controlling the average length of stay is still an effective means of controlling the total cost of hospitalization. Different maternal conditions should be treated differently and the clinical path should be reasonably planned so as to effectively reduce the financial burden on patients.