某综合性三级甲等医院手术类三病种住院费用分析与影响因素分析

《某综合性三级甲等医院手术类三病种住院费用分析与影响因素分析》由会员上传分享，免费在线阅读，更多相关内容在学术论文-天天文库。

1、regressionequation,SOastoidentifythekeyfactorsofhospitalizationexpenseofsingledisease，healthdepartmentsandmedicalinsuranceinstitutionstodevelopreasonablesinglediseasechargestandard，controloftherapidriseofmedicalexpenditureforreference，alsoformedicalinstitutionstoreducethecosto

2、fmedicalcaretoprovidetrainofthought．Materialsandmethods1，usingaretrospectivesurveymethodcollectsthefirstpagemedicalrecordsinformationof630casesofpatientswithunderwentcholecystectomyandbileductstone(1aparoscopicoperationintreatment)，678Casesofpatientswithmyocardialinfarction，82

3、4casesofpatientswithintetventionaltherapyofmalignanttumoroperationintreatmentin2009—201l，includingatotalof27indicators，respectively：gender,age，expensesnot，admissionannual，thelengthofhospitalstay，preoperativehospitalization，dischargediagnosis，whetherforsecondarydiagnosis，whethe

4、rforheavypatients，whetherrescue，whetherfortheocclIllr舶ceofdrugallergy,thenumberofbloodtransfusions，thetotalofbloodtransfusion，thenseofantibiotic，theoutcomesoftreatment，thetypeofoperation,thelevelofincision,thegradeofgrade，thetypeofanesthesia,whetherfornosocomialinfection，diffe

5、rentlevelsofnursingstay,whetherforoperationcomplicationsandhospitalcosts：includingmedicalcare，thefeesofdrugs(includingthefeesofmedicine,proprietaryChinesemedicineandChineseherbalmedicine)，thefeesofinspection(includingthefeesofRadiology,laboratoryandinspection)，thefeesofoperati

6、on(includingthefeesofoperationandanesthetic)andotherexpenses．Intheseindicatorsthelikelycostsinfluencingfactorswereselected．DatabaseisestablishedusingthecollecteddatainExcelandSPSS13．0andthecalibrationischeckedinthedatabase．Inthethreesinglediseases，theinpatientexpensesareanalyz

7、edandcompared，andthesinglefactorsareanalyzed，multipleequationsareestablishedi52，Researchmethods：(互)literatureresearchmethod，reviewandreferencethestudyaboutthedevelopmentonthedomesticandfordgnDRGssystem，ontherelatedfactorsofthehospitalizationexpenseofsinglediseaseswhichmayinflu

8、enceofliteraturestudyandreference，asthebasisofthisstudy；②them