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探讨白内障单病种手术病人住院费用的结构及影响因素,以控制医疗费用的上涨。随机抽取2013-2016年间在连云港市第一人民医院住院的白内障单病种手术病人172例,对住院费用构成进行分析,并通过多元逐步回归分析筛选出影响住院费用的因素。住院费用构成中材料费、手术费占重要比重,分别为31.67%、21.71%,床位费、护理费相对较低;进入住院费用多元逐步回归模型的因素有病人来源、住院天数、手术费比例、材料费比例。结论:控制住院费用要以控制、缩短住院天数为突破口,通过重点监控手术耗材费来解决。
To investigate the structure and influencing factors of hospitalization expenses of patients with single-cataract surgery in order to control the rising of medical expenses. A total of 172 patients with single-disease cataract who were hospitalized in Lianyungang First People’s Hospital during 2013-2016 were randomly selected. The costs of inpatients were analyzed and multivariate stepwise regression analysis was used to screen out the factors influencing hospitalization costs. Cost of hospitalization materials and surgery accounted for an important proportion, respectively 31.67%, 21.71%, bed costs, nursing care costs are relatively low; into multiple factors of hospitalization cost regression model of the source of the patient, hospital stay, the proportion of surgery, Material cost ratio. Conclusion: To control the cost of hospitalization should be to control and shorten the hospital stay as a breakthrough, through the focus on monitoring surgical supplies costs to solve.