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目的分析基于主动转运的早产儿住院费用及其影响因素,为合理控制住院费用和减轻疾病经济负担提供依据。方法收集2010年-2013年406名经桂中北新生儿转运网络主动转运至某院NICU救治的早产儿的病案及费用信息,采用描述性统计、秩和检验、多重线性回归方法进行分析。结果早产儿住院费用的中位数从9680.48元逐年增至12977.69元,年均增长率为10.26%。多重线性回归分析结果表明住院天数、是否全静脉营养治疗、转运距离、次要诊断个数、是否多胎、是否机械通气、是否手术、出院情况、入NICU日龄、转诊医院是住院费用的主要影响因素(F=235.37,P<0.001)。结论应通过加强医院内部管理、健全区域性新生儿转运网络、积极开展围产期保健和加快健全新生儿医疗保险体系等措施,控制住院费用过快增长,减轻患儿家庭和社会经济负担。
Objective To analyze the cost of hospitalization based on active transport in preterm infants and its influential factors, so as to provide the basis for reasonable control of hospitalization costs and alleviating the economic burden of diseases. Methods A total of 406 medical records and cost information of 406 preterm infants who were transhipped to the NICU in Guiyang North Central Hospital from 2010 to 2013 were collected and analyzed by descriptive statistics, rank sum test and multiple linear regression. Results The median hospitalization costs of premature infants increased from 9680.48 yuan to 12977.69 yuan annually, with an average annual growth rate of 10.26%. The results of multiple linear regression analysis showed that hospitalization days were the main factors of hospitalization, such as length of hospital stay, total parenteral nutrition treatment, distance traveled, number of minor diagnoses, multiple births, mechanical ventilation, surgery, discharge, NICU age Influencing factors (F = 235.37, P <0.001). Conclusion The measures such as strengthening hospital internal management, perfecting regional neonatal transport network, actively carrying out perinatal care and speeding up and perfecting neonatal medical insurance system should be taken to control the excessive growth of hospitalization expenses and reduce the family and socioeconomic burdens of children.