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神经网络模型在住院费用影响因素分析中的应用

Application of the nerve network model in the analysis of factors affecting hospitalization expenses

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【作者】 张菊英; 韦健; 杨树勤;

【Author】 ZHANG Juying, WEI Jian, YANG Shuqin. Health Statistics Department of Sichuan University Western China Public Health College, Chengdu 610041, China

【机构】 四川大学华西公共卫生学院卫生统计学教研室; 四川大学华西公共卫生学院卫生统计学教研室 610041成都; 610041成都;

【摘要】 目的 分析住院病人费用的影响因素及其综合影响力 ,以控制医疗费用的不合理增长。方法 以 1所三甲医院 1997年住院构成前 10位病种的费用资料为样本 ,采用神经网络模型对出院病例的医疗费用进行统计学分析。结果 住院天数、入院情况、年龄及术前天数是影响住院费用的主要因素 ,其综合影响力分别为 0 4 879、0 2 12 4、0 184 7和 0 0 6 12。结论 控制医疗费用的不合理增长应该着力于降低药费 ,缩短住院天数和术前天数

【Abstract】 Objective To analyze factors affecting the expenses of inpatients and their comprehensive force of influence so as to check irrational increases of medical expenses. Methods Data on hospitalization expenses for disease entities ranking in the first ten places in a third tier hospital in 1997 were taken as samples and a statistical analysis was conducted of the medical expenses incurred in the discharged cases by means of the nerve network model. Results Major factors affecting hospitalization expenses were days of hospitalization, pre hospitalization conditions, pre operation length of stay and age, the comprehensive force of influence of which was respectively 0 4879 , 0 2124 , 0 1847 and 0 0612 . Conclusion To check the irrational increases of medical expenses, we must focus our efforts on the reduction of expenses for medicine and shorten days of hospitalization and pre operation length of stay.

  • 【文献出处】 中华医院管理杂志 ,Chinese Journal of Hospital Administration , 编辑部邮箱 ,2002年03期
  • 【分类号】R197.324
  • 【被引频次】88
  • 【下载频次】615
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