299例舌下腺囊肿患者住院费用研究

发布时间：2018-04-04 01:13

本文选题：单病种　切入点：舌下腺囊肿　出处：《新疆医科大学》2014年硕士论文

【摘要】：目的：探讨299例舌下腺囊肿(Plunging ranula)患者住院费用的特点及影响因素。研究舌下腺囊肿病人住院费用差异的影响因素,为降低患者医疗费用负担及控制医疗费用增长寻找有效的方法。方法：对收集的患者的一般资料(2006-2013年新疆维吾尔自治区人民医院和新疆医科大学第一附属医院颌面外科收治的舌下腺囊肿住院病人)进行统计描述,并应用方差分析和多元线性回归对费用差异影响因素进行统计分析。结果：共获得299份病例,其中从维吾尔自治区人民医院收集98例,从新疆医科大学第一附属医院收集201例。299分病例分析提示三组年龄组间青壮年(20-49岁)组患者人数最多,且女性明显多于男性。299份病历次均住院费用6808.82元、中位数6575.43元,最高35163元、最低1563.92元；药品费比例最高(39.46%),治疗费其次(31.62%)。多因素分析结果显示不同费别、麻醉方式、床费、西药费、检查(含放射费、化验费、检查费)费、治疗费、手术费、麻醉费及其他(含配床费和其他费用)费为影响住院费用差异因素。结论：单病种住院费用影响因素当中药品费用占总住院费用的比例显著,控制单病种费用方法之一为单病种限价,也是为有效手段之一。
[Abstract]:Objective: to investigate the characteristics and influencing factors of hospital expenses in 299 patients with sublingual gland cysts.To study the factors influencing the difference of hospitalization expenses in patients with sublingual gland cyst and to find an effective way to reduce the burden of medical expenses and control the increase of medical costs.Methods: the general data of the patients collected from 2006 to 2013 were analyzed. The patients with sublingual gland cyst admitted in maxillofacial surgery of Xinjiang Uygur Autonomous region people's Hospital and the first affiliated Hospital of Xinjiang Medical University from 2006 to 2013 were statistically described.Variance analysis and multivariate linear regression were used to analyze the influencing factors of cost difference.Results: totally 299 cases were obtained, of which 98 cases were collected from the people's Hospital of Uygur Autonomous region and 201 cases were collected from the first affiliated Hospital of Xinjiang Medical University.The average hospitalization expenses of female patients were 6808.82 yuan, median 6575.43 yuan, maximum 35163 yuan, lowest 1563.92 yuan, the proportion of drug cost was 39.46%, the treatment cost was 31.62%.The results of multivariate analysis showed that different costs, anaesthesia, bed expenses, western medicine, examination (including radiation, laboratory test, examination), treatment, operation,Anaesthesia and other (including bed and other costs) fees are factors affecting the variance of hospitalization costs.Conclusion: the proportion of drug cost to total hospitalization cost is significant among the factors affecting the cost of single disease. One of the methods to control the cost of single disease is to limit the price of single disease and is also one of the effective methods.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R739.8

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