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目的:探讨影响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过度增长提供理论依据与实践启示。方法:以2008年国家卫生部选取的62家医院的20种疾病1 043例病人为样本,采用因子分析方法,对各项医疗费用进行实证分析。结果:手术检验费因子、诊察药品费因子、护疗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、治疗费和检查化验费。
Objective: To explore the main controlling factors affecting hospitalization expenses of 20 kinds of diseases, and to provide theoretical basis and practical enlightenment for controlling over-growth of hospitalization expenses. Methods: A total of 1 043 cases of 20 diseases in 62 hospitals selected by the Ministry of Health in 2008 were used as a sample. Empirical analysis was conducted on various medical costs by factor analysis. Results: Surgical examination fee factor, the investigational drug cost factor and nursing cost factor are the three key factors that dominate the cost of hospitalization. Conclusion: To control excessive growth of medical expenses, we should focus on the control of drug charges, treatment costs and examination of laboratory fees.