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目的探讨儿童急性阑尾炎住院费用的分布特点和影响因素。方法统计分析医保患者与自费患者费用构成,采用多元逐步回归模型分析急性阑尾炎住院费用的影响因素,用非参数秩的方法检验各因素的差异。结果住院费用医保患者高于自费患者,住院天数越长费用越高,而且儿童急性阑尾炎的药费比例高;付费方式、药品、住院天数、年龄、手术方案以及切口愈合对住院费用有显著影响。结论合理用药、加强对住院天数较长患者诊疗情况的监测,以有效缩短平均住院日可以节约医疗成本,降低医疗费用,合理分配医疗资源。
Objective To investigate the distribution characteristics and influential factors of hospitalization expenses of children with acute appendicitis. Methods Statistical analysis was made on the cost structure of Medicare patients and patients at their own expense. Multivariate stepwise regression models were used to analyze the influencing factors of hospitalization costs of acute appendicitis. The non-parametric rank test was used to test the differences of various factors. Results The hospitalization expense was higher than that of patients who voluntarily paid medical expenses. The longer the hospitalization days, the higher the cost and the higher proportion of children’s acute appendicitis. The payment method, medicine, days of hospitalization, age, operation plan and incision healing had a significant impact on hospitalization expenses. Conclusion The rational use of drugs to strengthen the treatment of patients with longer hospitalization days monitoring, in order to effectively reduce the average length of stay can save medical costs, reduce medical costs and rational distribution of medical resources.