摘要
目的 分析某妇幼医院产科人均住院费用结构变动情况,为优化住院费用结构、合理控制医疗费用提供参考。方法 采用结构变动度、灰色关联分析2015—2018年该院产科住院费用变动情况,利用方差分析和Wilcoxon符号秩和检验、Kruskal-Wallis检验分析病患因素对变动贡献最大的三种费用的影响程度。结果 医疗服务费、耗材费、手术费、护理费等变动幅度较大,药品、耗材、手术费等对费用结构变化影响较大,病患情况对费用水平和结构影响较大。结论 医院控费措施初见成效,但费用结构不合理仍然存在,需针对耗材费、手术费等重点项目,进行精准监控,加强重点管控,强化临床路径管理。
Objective To analyze the changes in the structure of per-capita hospitalization expenses in Obstetrics Department of a maternal and child healthcare hospital,and to provide reference for optimizing hospitalization expenses structure and controlling the unreasonable growth of medical expenses.Methods The degree of structural variation and gray correlation analysis were used to analyze the changes of obstetric inpatient expenses in the hospital from 2015 to 2018.And the analysis of variance,Wilcoxon signed rank sum test and Kruskal-Wallis test were used to analyze the influence of patient factors on the three expenses with the greatest contribution to the changes.Results Medical service fee,consumables fee,operation fee and nursing fee varied greatly,drugs,consumables and operation fee had a greater impact on the change of cost structure,and the patient situation had a greater impact on the cost level and structure.Conclusions Although the implementation of expenses control measures had achieved initial effects,the structure of hospitalization expenses was still unreasonable.Great efforts should be made to optimize the hospitalization expenses management mainly on the key items such as expenses of medical consumables and operation by monitoring precisely and strengthening the management of clinical pathway.
作者
王军永
刘霞
WANG Junyong;LIU Xia(Jiangxi University of Traditional Chinese Medicine,Nanchang,Jiangxi 330004,China)
出处
《中国农村卫生事业管理》
2022年第9期626-631,共6页
Chinese Rural Health Service Administration
基金
国家自然科学基金项目(72064023)
江西中医药大学1050人才工程。
关键词
住院费用
结构变动度
灰色关联分析
非参数检验
产科
Hospitalization expenses
Degree of structural variation
Gray correlation analysis
Non-parametric hypothesis test
Obstetrics Department
