海军某医院9年军人住院费用及住院日影响因素分析

发布时间：2018-06-03 12:09

本文选题：住院时间 + 住院费用　；参考：《第二军医大学学报》2017年08期

【摘要】：目的分析海军某三级甲等医院9年间军人住院费用及住院日的变化趋势及其影响因素,为军队医院卫生资源配置提供决策依据。方法从海军某三级甲等医院军卫系统提取2008年1月-2016年12月住院并接受治疗的16 278例军人患者资料。采用描述性分析、Mann-Whitney U检验、Kruskal-Wallis H检验等方法分析住院费用与住院日现状、变化趋势及影响因素。结果军人患者入院年龄平均为(28.33±13.40)岁。2008-2016年间住院日呈现缩短趋势,住院费用呈现增长趋势。对可能影响住院费用的影响因素进行分析,结果显示军种、病情、入院次数、乙肝表面抗原、丙肝抗体、人免疫缺陷病毒抗体、军职、年龄、转归等多分类变量均有统计学意义(P0.05),病重、病危、入住ICU、特级护理、一级护理、过敏、手术等二分类变量均有统计学意义(P0.05);对可能影响住院日的影响因素进行分析,结果显示军种、病情、入院次数、人免疫缺陷病毒抗体、军职、年龄、转归等多分类变量均有统计学意义(P0.05),性别、病重、病危、特级护理、一级护理、手术等二分类变量均有统计学意义(P0.05)。结论军人患者住院日的逐渐降低和住院费用的不断升高反映了医疗技术的不断进步和住院管理效率的不断提高,但也面临医疗成本不断增加的压力。从成本效益角度,建议加强分级转诊,控制住院费用与住院日。
[Abstract]:Objective to analyze the trend and influencing factors of military hospitalization expenses and hospitalization days in a naval Grade 3A hospital during the past 9 years so as to provide decision basis for the allocation of health resources in military hospitals. Methods 16 278 military patients who were hospitalized and treated from January 2008 to December 2016 were collected from the military health system of a Grade 3A hospital in the Navy. Using the descriptive analysis of Mann-Whitney U test and Kruskal-Wallis H test to analyze the present situation of hospitalization expenses and hospitalization days, the trend of change and the influencing factors. Results the average admission age of military patients was 28.33 卤13.40 years old. The factors that may affect the cost of hospitalization were analyzed. The results showed that the services, the condition, the number of admissions, the hepatitis B surface antigen, the hepatitis C antibody, the human immunodeficiency virus antibody, the military service, the age, There was statistically significant difference in the multiple classification variables (P 0.05), such as severe illness, critical illness, admission to ICU, special nursing, first grade nursing, allergies, surgery, etc. There was a significant difference between the two variables (P 0.05). The factors that might influence the length of hospitalization were analyzed. The results showed that there were statistically significant multivariate variables in the service, illness, admission times, antibody to human immunodeficiency virus, military service, age, outcome and so on (P 0.05), gender, serious illness, critical illness, special grade nursing, primary nursing, and so on. The two kinds of variables such as surgery had statistical significance (P 0.05). Conclusion the decreasing of hospitalization days and the increasing of hospitalization expenses reflect the progress of medical technology and the improvement of hospital management efficiency, but they also face the pressure of increasing medical cost. From the point of view of cost-effectiveness, it is suggested to strengthen the step-by-step referral and to control the cost of hospitalization and the length of stay.
【作者单位】：第二军医大学卫生勤务学系卫生勤务学教研室;解放军22医院普通外科;
【基金】：国家自然科学基金(71233008) Supported by National Natural Science Foundation of China(71233008) 军队“十二五”重大项目(AWS12J002) Major Project in“12th Five-Year Plan”of PLA(AWS12J002)
【分类号】：R82

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