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目的:探讨县级公立医院次均住院费用的主要影响因素,为合理控制医疗费用提供线索和参考依据。方法:采用单因素分析对100家县级公立医院2015年的出院人次及费用、医院规模、高值耗材和检查设备等数据进行统计分析。结果:该省县级公立医院的次均住院费用水平在4 000元左右;财政补助水平及人员支出占比与县级公立医院的次均住院费用呈负相关,而医院的医疗成本、固定资产、乙类大型检查设备种数、卫生技术人员数与县级公立医院的次均住院费用均呈正相关。结论:从财政补助、人员支出占比、大型检查设备、卫生技术人员数量等方面入手控制县级公立医院的医疗费用将是可行和有效的策略。
Objective: To explore the main influencing factors of the average hospitalization costs in county-level public hospitals and to provide clues and reference for the reasonable control of medical expenses. Methods: Univariate analysis was used to analyze the 2015 discharges and expenses, hospital size, high value supplies and inspection equipment of 100 county-level public hospitals. Results: The average cost of hospitalization at the county level public hospitals was about 4,000 yuan. The level of financial subsidies and the proportion of personnel expenditures were negatively correlated with the average hospitalization costs of county-level public hospitals. However, the hospital’s medical costs, fixed assets , The number of large-scale inspection equipment of type B, the number of health technicians and the average hospitalization expenses of county-level public hospitals were all positively correlated. Conclusion: It is a feasible and effective strategy to control the medical expenses of county-level public hospitals from the aspects of financial subsidies, the proportion of personnel expenditures, large-scale inspection equipment and the number of health technicians.