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目的分析某精神病医院重性精神疾病患者的住院费用,了解住院费用的构成,探讨费用的影响因素。方法采用回顾性的分析方法,对2013—2014年度156名重性精神疾病患者的住院费用及患者基本资料进行多元逐步回归分析。结果在各项费用中,比例最高的是治疗费,其次为床位费、食杂费和化验费等。住院天数和诊断分类对住院费用影响较大,药物使用情况、住院天数和住院次数对药品使用费用影响较大。结论重性精神疾病患者住院费用负担较重,住院费用受多种因素影响,但是可以通过加强医院管理、医务人员诊疗技术的提高、增加患者对医师的信任和对药物疾病的了解等来降低治疗费用,减少医疗资源的浪费。
Objective To analyze the hospitalization expenses of patients with severe mental illness in a psychiatric hospital, to understand the composition of hospitalization expenses and to explore the influencing factors of expenses. Methods A retrospective analysis method was used to conduct multiple stepwise regression analysis on the hospitalization expenses and basic data of 156 patients with severe mental illness in 2013-2014. The results in the cost, the highest proportion of treatment costs, followed by bed fees, food and clothing charges and laboratory fees. Hospitalization days and diagnostic classification have a greater impact on hospitalization costs, drug use, hospitalization days and hospitalizations have a greater impact on drug use costs. Conclusions Patients with severe mental illness have a heavy burden of hospitalization and hospitalization costs are affected by many factors. However, treatment can be reduced by strengthening hospital management, improving medical skills, increasing trust in physicians and understanding of drug-related diseases Costs, reduce the waste of medical resources.