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目的:研究2013年度种中常见疾病医保患者住院费用调查以及影响因素分析。方法:选取2013年我院收治的10种常见疾病(脑梗死、高血压、肺炎、胆囊结石、糖尿病、冠心病、老年性白内障、急性阑尾炎、子宫平滑肌瘤、前列腺增生)住院患者14 237例为研究对象,分析患者的病案,并应用多元因素分析住院费用的影响因素。结果:药费占住院费用的大多数,脑梗死和冠心病住院时间较长,冠心病住院费用最高。10种疾病的住院费用存在显著差异(P<0.05);不同疾病住院费用的影响因素存在差异,住院天数和自费比例是影响患者住院费用的共同因素。结论:药费是住院费用的主要部分,住院天数和自费比例是影响住院费用的公共因素。
Objective: To investigate the hospitalization expenses of health insurance patients with common diseases in 2013 and the analysis of influential factors. Methods: A total of 14 237 hospitalized patients with 10 common diseases (cerebral infarction, hypertension, pneumonia, gallstones, diabetes mellitus, coronary heart disease, senile cataract, acute appendicitis, uterine leiomyoma and benign prostatic hyperplasia) As the research object, analyze the patient’s medical record, and use multivariate analysis of factors affecting hospitalization costs. Results: Drugs accounted for the majority of hospitalization expenses, cerebral infarction and coronary heart disease longer hospital stay, coronary heart disease hospitalization costs the highest. There were significant differences in hospitalization costs among the 10 diseases (P <0.05). There were differences in hospitalization costs between different diseases. The days of hospitalization and the proportion of self-funded hospital expenses were the common factors affecting hospitalization expenses. Conclusions: The cost of medicine is a major part of the cost of hospitalization. The number of days of hospitalization and self-pay is the public factor that affects the cost of hospitalization.