摘要
目的对陕西某三甲医院的急性心肌梗死患者住院总费用进行研究,探究该医院急性心肌梗死患者住院总费用的影响因素,为医院建立健全成本核算体系、降低经营成本、促进医院的运营管理提供思路。方法从陕西某三甲医院信息科、病案室等部门采用回顾性调查研究的方法收集数据,共收集2019年1月至2020年12月急性心肌梗死出院患者病历1434份,采用描述性分析、非参数检验、单因素分析和多元线性回归等方法分析住院总费用的变化趋势、构成情况及其影响因素。结果单因素分析表明年龄、有无固定收入、医疗付费方式、是否手术、住院时间和离院方式均对急性心肌梗死患者住院总费用具有影响(P<0.05),多元逐步线性回归分析结果表明是否手术(β=1.569,P<0.001)和住院时间(β=0.070,P<0.001)是急性心肌梗死患者住院总费用的主要影响因素。结论该院住院总费用控制在较稳定水平,2020年较2019年急性心肌梗死患者住院总费用有下降趋势。优化诊疗流程,规范收费制度,严格把控住院患者手术和住院时间等措施将有利于合理控制费用。
Objective To study and analyze the total cost of hospitalization of acute myocardial infarction patients in a third-class A hospital in Shaanxi province,explore the influencing factors of total cost of hospitalization,and provides ideas for the hospital to establish and improve the cost accounting system,reduce operating costs,and promote the operation and management of the hospital.Methods Datas were collected from the information department and medical records department of a third-class A hospital in Shanxi by retrospective investigation,and a total of 1434 medical records of patients with acute myocardial infarction from January 2019 to December 2020.Descriptive analysis,parameter test,correlation analysis and multiple linear regression were used to analyze the changing trend,composition and influencing factors of total hospitalization expenses.Results Univariate analysis showed age,fixed income,medical payment method,surgery,length of stay and the way of dischargehad significant effects on the total hospitalization cost of patients with acute myocardial infarction(P<0.05).Multiple stepping-linear regression analysis showed that whether surgery was performed(β=1.569,P<0.001)and length of stay(β=0.070,P<0.001)were the main influencing factors for total hospitalization cost of acute myocardial infarction patients.Conclusion The medical expenses in this hospital are controlled at a stable level,and the total hospitalization expenses of patients with myocardial infarction in 2020 have a decreasing trend compared with that in 2019.Optimizing the process of diagnosis and treatment,standardizing the charging system,and strictly controlling the operation and hospitalization days of inpatients will be conducive to reasonable cost control.
作者
辛伟伟
李鑫
王兴宁
苏琴琴
李正正
XIN Weiwei;Li Xin;WANG Xingning;SU Qinqin;Li Zhengzheng(Information Management Office,Affiliated Hospital of Yan’an University,Yan’an 716000,China;Quality Control Office,Affiliated Hospital of Yan’an University,Yan’an 716000,China;Brain function Chamber of Neurology,Affiliated Hospital of Yan’an University,Yan’an 716000,China)
出处
《河南医学研究》
CAS
2021年第24期4445-4449,共5页
Henan Medical Research
关键词
急性心肌梗死
住院总费用
多元线性回归
影响因素
acute myocardial infarction
total hospitalization cost
multivariate linear regression
influencing factors
