【摘要】 目的:分析某医院社区获得性肺炎成人患者的住院费用及其结构,探讨单病种付费及按日付费方法。方法:分别调查某医院2007年、2010年、2013年、2016年等年份中1~3月社区获得性肺炎成人患者的住院费用及其构成情况。引入基础住院费概念,分析不同年份总费用及其各组成的变化。结果:2007~2016年人均住院费用由5 038.80元上升到13 453.10元,日均住院费用由482.79元上升到1 244.27元,其中药费占比最大,平均为63.06%。日均费用中基础住院费占总费用比例逐年减少,药费占基础住院费用比例较平稳。结论:成人社区获得性肺炎住院费用中药费占主要,单纯控制药占比不能降低药费。基础住院费按病种付费方法和按日付费方法有其合理性,有待进一步研究。更多还原

【Abstract】 Objective: To analyze the hospitalization cost and cost structure of adult community-acquired pneumonia patients in a hospital,and explore the single disease payment and the daily payment method. Methods: A comparative study was conducted on the cost and cost structure of inpatients with community-acquired pneumonia in the hospital from January to March in the year of 2007,2010,2013 and 2016. The concept of basic hospitalization fee was used to analyze the changes of the total cost of each year and the cost composition. Results: During 2007 and 2016,the per capita hospitalization expenses increased from 5 038. 80 yuan to 13 453. 10 yuan,the daily hospitalization cost increased from 482. 79 yuan to 1 244. 27 yuan,and the drug accounted for the largest proportion( average 63. 06%). In the average daily cost,the proportion of basic hospitalization cost decreased year by year,and the proportion of medicine fee in the basic hospitalization cost kept stable. Conclusion: Drug fee accounts for the main proportion in pneumonia hospitalization cost,and only controlling medicine proportion can not reduce drug fee. The basic hospitalization fee is reasonable according to the methods of single disease payment and daily payment,which needs to be studied further.更多还原