摘要
目的了解2008-2012年浙江省大型公立医院患者平均住院费用的影响因素及发展态势，找出影响结构变动的主要费用项目及变动情况。方法运用新灰色关联分析法，对住院费用构成进行定量分析；采用结构变动度分析方法分析5年中住院费用结构的变动情况。结果2008-2012年间各住院费用项目中，药费的关联度最大（1.0000），其次是以卫生材料费及化验费为主的其他费（0.8521）；其他费的结构变动贡献率最大（41.33%），其次是药费（40.05%），二者的累计贡献率为81.38%。结论药品费是住院费用得到控制的主要影响因素，其他费用的上涨阻碍费用下降，合理支配药品费用和降低不必要的材料费及化验费用能够减轻患者的住院费用负担。
Objective To explore the average costs of patients in large public hospitals from 2008 to 2012, to find out the main influencing factors and changing trend of cost structure.Methods Grey correlation analysis method was employed to make quantitative in the hospital cost structure. The changing trend of 5 years hospital cost structure was analyzed by Degree of structure variation.Results In all items of the 5 year hospital costs, drug cost had greatest relevancy （1.000）, followed by other fees, including sanitary materials and assay costs （0.8521）. Other fees took the lead in contribution to structural changes of hospital costs（41.33%）,followed by drug cost（40.05%）,which gave a cumulative contribution rate of 81.33%.Conclusion Drug cost is the major influencing factor for hospital costs controlling, other fees are the main handicap of costs reducing. Reasonable control of drug costs and reduction of unnecessary fees can decrease patients＇ burden of hospital costs.
出处
《中国卫生信息管理杂志》
2014年第4期341-345,共5页
Chinese Journal of Health Informatics and Management
关键词
平均住院费用
灰色关联分析
结构变动度
Average hospitalization costs
Grey relational analysis
Degree of structure variation
