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急性心肌梗死病人住院费用分析

An analysis on hospitalization charge of inpatient with myocardial infarction

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【作者】 崔玉江刘启贵王丽华

【Author】 CUI Yujiang LIU Qigui WANG Lihua Jinzhou Medical College, 40, Section 3, Songbo Road, Linghe District, Jinzhou City, Liaoning Province 121004 .PRC.

【机构】 锦州医学院大连医科大学大连医科大学 121004辽宁省锦州市凌河区松坡路3段40号116023辽宁省大连市沙河口区中山路465号116023辽宁省大连市沙河口区中山路465号

【摘要】 目的:本文通过探讨单病种病人住院费用的影响因素,以控制医疗费用的上涨。方法:以急性心肌梗死住院病人为例,对可能的影响因素进行统计分析。结果:影响急性心肌梗死病人住院费用的因素主要有性别、年龄、治疗方式。结论:针对不同的治疗方式,控制手术组病人的住院费用要从降低手术材料费用等入手;而非手术组病人的住院费用要以缩短住院时间,控制用药和合理用药为突破口,通过医疗保险制度的改革来解决。在以往的研究中,支付方式是一种主要的影响因素,但本文对急性心肌梗死病人的研究发现,不同支付方式的住院费用的差异无统计学意义。

【Abstract】 Purpose: the article discusses how to control the growing expenses for medical service based on the exploration of influentialfactors to hospitalization charge of inpatient with single disease. Method: possible influential factors are statistically analyzed based on inpatientwith acute myocardial infarction. Result: the main influential factors to hospitalization charge of inpatient with acute myocardial infarction are:sex, age and way of treatment. Conclusion: aiming at different ways of treatment, to control hospitalization charge of surgical inpatients, surgicalmaterial fee should be reduced; to control hospitalization charge of non-surgical inpatients, hospitalization length be reduced, drug administration/rational drug use is the key, both be resolved through the reform of medical insurance system. The previous studies indicate that the way of payingis the main influential factor, however, the article found that, based on the study of the inpatient with acute myocardial infarction, the differenceof various ways of paying hospitalization charge is without statistical significance.

  • 【分类号】R542.22
  • 【被引频次】6
  • 【下载频次】118
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