引用本文
  • 徐振清,薛晨,邓月仙,刘旭,唐碧菡,张鹭鹭.海军某医院9年军人住院费用及住院日影响因素分析[J].第二军医大学学报,2017,38(8):1060-1064    [点击复制]
  • XU Zhen-qing,XUE Chen,DENG Yue-xian,LIU Xu,TANG Bi-han,ZHANG Lu-lu.Influencing factor analysis of hospitalization expense and hospitalization day of soldiers in a navy hospital in the past 9-years[J].Acad J Sec Mil Med Univ,2017,38(8):1060-1064   [点击复制]
【打印本页】 【下载PDF全文】 查看/发表评论下载PDF阅读器关闭

←前一篇|后一篇→

过刊浏览    高级检索

本文已被:浏览 139次   下载 144 本文二维码信息
码上扫一扫!
海军某医院9年军人住院费用及住院日影响因素分析
徐振清1,2,薛晨1,邓月仙1,刘旭1,唐碧菡1,张鹭鹭1*
0
(1. 第二军医大学卫生勤务学系卫生勤务学教研室, 上海 200433;
2. 解放军22医院普通外科, 格尔木 816099
*通信作者)
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(P<0.05),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(P<0.05);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(P<0.05),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(P<0.05)。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。
关键词:  住院时间  住院费用  军队医院  危险因素
DOI:10.16781/j.0258-879x.2017.08.1060
投稿时间:2017-07-09修订日期:2017-08-06
基金项目:国家自然科学基金(71233008),军队"十二五"重大项目(AWS12J002).
Influencing factor analysis of hospitalization expense and hospitalization day of soldiers in a navy hospital in the past 9-years
XU Zhen-qing1,2,XUE Chen1,DENG Yue-xian1,LIU Xu1,TANG Bi-han1,ZHANG Lu-lu1*
(1. Department of Health Service, Faculty of Health Services, Second Military Medical University, Shanghai 200433, China;
2. Department of General Surgery, No. 22 Hospital of PLA, Geermu 816099, Qinghai, China
*Corresponding author)
Abstract:
Objective To explore the variation tendency and influencing factors of the hospitalization costs and hospital day of soldiers in a navy hospital, so as to provide reference for the health resource allocation of military hospitals. Methods The data of 16 278 military patients who were hospitalized and treated from Jan. 2008 to Dec. 2016 were extracted from the military health system. The hospitalization costs and status, variation tendency and influencing factors of hospital stay were analyzed by descriptive analysis, Mann-Whitney U test and Kruskal-Wallis H test. Results The average age of admission was (28.33±13.40) years, and the hospitalization period showed a shortening trend, while the hospitalization costs showed an increasing trend during 2008-2016. The polytomous variables, including services, patient's condition, hospitalized times, hepatitis B surface antigen, hepatitis C antibody, human immunodeficiency virus (HIV) antibody, military appointment, age and outcomes, and the dichotomous variables, including severe condition, critical condition, ICU admission, special-grade nursing care, first-grade nursing care, allergies and operation, were the influencing factors of hospitalization expenses (P<0.05). The polytomous variables, including services, patient's condition, hospitalized times, HIV antibody, military appointment, age and outcomes, and the dichotomous variables, including gender, severe condition, critical condition, special-grade nursing care, first-grade nursing care and operation, were the influencing factors of hospitalization stay (P<0.05). Conclusion The decreasing hospitalization day of military patients and increasing hospitalization costs suggest that the medical technology and hospital management efficiency are continuously improving, but facing the pressure of increasing medical costs. From a cost-effective perspective, we should strengthen the graded referral and control hospitalization costs and length of hospital stay.
Key words:  length of stay  hospitalization cost  military hospitals  risk factors