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目的:寻找影响20种疾病住院医疗费用的主要支配因子,为控制住院医疗费用的不合理增长提供理论依据。方法:以2010-2011.6月某三甲医院业务量前20位病种的9 737例患者为样本,采用因子分析法,对各项医疗费用进行实证分析。结果:检验药费因子、手术费和其他费用因子、中药护理费因子是支配住院医疗费用的3个关键因子。结论:控制医疗费用的过度增长,应重点控制药品费、检查费和其他费用。
OBJECTIVE: To find the main controlling factors affecting the cost of inpatient medical services for 20 diseases and provide a theoretical basis for controlling the unreasonable increase of inpatient medical expenses. Methods: A total of 9 737 patients with the top 20 diseases in a top three hospital from 2010 to 2011.6 were selected as the samples, and the factor analysis was used to analyze the various medical expenses. Results: To test the cost factor, operation fee and other cost factors, the cost factor of Chinese medicine nursing care is the three key factors that dominate the cost of hospitalization. Conclusion: To control the excessive growth of medical expenses, we should focus on the control of drug charges, inspection fees and other expenses.