摘要
目的:探讨上海市不同等级医院糖尿病住院患者的费用变化趋势以及费用构成情况。方法:通过采集3所不同等级医院的住院患者病历首页和出院财务结算单,录入统一编制的软件并采用SAS¨9进行统计分析。结果:(1)一级医院Ⅱ型糖尿病病人的平均住院日最长,日均费用最低,但次均住院总费用在四年间变化幅度在三种等级的医院中是最大的,且绝对值已经超过了二三级医院同年的次均住院总费用。(2)一级医院的西药费、治疗费、检查费或检验费及床位费分别位居住院总费用构成比的前四位;二级医院住院总费用构成比中占前四位的分别是西药费、检验费、检查费和输血费;三级医院住院总费用构成比中占前四位的则是手术费、西药费、检验费和输血费。结论:不同等级医院住院费用构成和变化趋势明显不同,应采取不同的对策才能有效控制住院费用上涨。
Objective： to explore the trend and constructions of diabetic hospitalization expenses in difference grades hospitals in Shangha. Methods： The medical record first sheet and the statement of expense in 3 hospitals belonged to different grades were collected, coded, entered and analyzed. The software package was SAS 9. Results： （1） The diabetic patients in primary hospital got the longest average hospitalization days and the lowest daily cost. But the tendency of average expense per patient was the largest among the three grades and the absolute value of average hospitalization expense was the highest among the three grades hospitals. （2） The medicine charge, treatment charges, examination charges and bed charges got the first 4 arrangement in total hospitalization expense in primary hospital. The medicine charge, test charges, examination charges and transfusion charges was the first 4 rank in second grade hospital, the operation charge, medicine charge, test charge and transfusion charge was the first 4 rank in tertiary hospital. Conclusions： The hospitalization expense＇s construction and the tendency were quite different among different grade hospital. The diacritical measures should be used in different grade hospital to control the hospitalization expense.
出处
《中国医院》
2006年第7期29-32,共4页
Chinese Hospitals
基金
上海市医学发展基金资助项目(01ZD001)
关键词
糖尿病
住院费用
diabetics, hospitalization expense
