[1]闫晓婷,张 文,李红霞,等.陕西省某医院剖宫产病例住院费用构成及影响因素分析[J].医学信息,2023,36(13):77-80，85.[doi:10.3969/j.issn.1006-1959.2023.13.014]
　YAN Xiao-ting,ZHANG Wen,LI Hong-xia,et al.Analysis of Hospitalization Expenses and Influencing Factors of Cesarean Section Cases in a Hospital in Shaanxi Province[J].Journal of Medical Information,2023,36(13):77-80，85.[doi:10.3969/j.issn.1006-1959.2023.13.014]
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陕西省某医院剖宫产病例住院费用构成及影响因素分析()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
36卷
期数:
2023年13期
页码:
77-80，85
栏目:
公共卫生信息学
出版日期:
2023-07-01

文章信息/Info

Title:
Analysis of Hospitalization Expenses and Influencing Factors of Cesarean Section Cases in a Hospital in Shaanxi Province
文章编号:
1006-1959（2023）13-0077-05
作者:
闫晓婷; 张 文; 李红霞; 等
（西安交通大学第一附属医院医务部，陕西 西安 710061）
Author(s):
YAN Xiao-ting; ZHANG Wen; LI Hong-xia; et al.
(Department of Medical Administration,the First Affiliated Hospital of Xi’an Jiaotong University,Xi’an 710061,Shaanxi,China)
关键词:
剖宫产; 住院费用; 费用构成; 高危妊娠
Keywords:
Cesarean section; Hospitalization expenses; Cost composition; High risk pregnancy
分类号:
R197.3
DOI:
10.3969/j.issn.1006-1959.2023.13.014
文献标志码:
A
摘要:
目的 探讨剖宫产病例住院费用构成及影响因素分析。方法 收集西安交通大学第一附属医院2020年1月-2022年6月所有剖宫产病例的病案首页数据（n=3038），分析剖宫产病例住院费用的内部构成及影响因素。结果 剖宫产病例平均年龄（31.42±3.96）岁，＜35岁者2388例（78.60%）；平均住院时间（6.97±3.08）d，平均住院费用（19 109.95±8180.95）元，中位数为17 286.11元；剖宫产住院费用构成中耗材费用（25.61%）、麻醉手术费（21.72%）、药品费用（21.30%）是剖宫产住院费用的主要构成部分，一般医疗服务费（5.37%）、护理费（2.06%）和血液及制品费用（0.81%）占比较低；影响剖宫产住院费用显著性差异的因素从大到小依次为住院天数、是否输血、麻醉方式、是否入临床路径、新生儿出生体重、是否抢救、入院情况、年龄、术前时间、患者来源、医疗付费方式（P＜0.05）。结论 剖宫产病例住院费用结构需进一步优化，控制药品费用和医用耗材费用是降低医疗费用的关键环节；医院机构应不断优化诊疗流程，加强临床路径管理，控制治疗及术前准备时间，降低住院天数，提升医院运行效率，降低剖宫产住院费用。
Abstract:
Objective To explore the composition and influencing factors of hospitalization expenses of cesarean section cases.Methods The medical record home page data (n=3038) of all cesarean section cases in the First Affiliated Hospital of Xi’an Jiaotong University from January 2020 to June 2022 were collected, and the internal composition and influencing factors of hospitalization expenses of cesarean section cases were analyzed.Results The average age of 3038 cases of cesarean section in this study was (31.42±3.96) years old, 2388 cases (78.60%) were less than 35 years old. The average hospitalization was (6.97±3.08) days, and the average hospitalization cost was (19 109.95±8180.95) yuan, with a median of 17286.11 yuan. In the composition of hospitalization expenses for cesarean section, the cost of consumables (25.61%), anesthesia surgery (21.72%), and drugs (21.30%) were the main components of the hospitalization expenses for cesarean section, while the general medical service expenses (5.37%), nursing expenses (2.06%), and blood and products expenses (0.81%) account for a relatively low proportion; The factors influencing the significant difference of hospitalization expenses of cesarean section from large to small were: length of stay, whether to transfuse blood, anesthesia mode, whether to enter the clinical path, newborn birth weight, whether to rescue, admission, age, preoperative time, patient source, and medical payment mode (P<0.05).Conclusion The structure of hospitalization expenses for cesarean section cases needs to be further optimized, controlling the cost of drugs and medical consumables is the key link to reduce medical expenses. Meanwhile,hospitals should continue to optimize the diagnosis and treatment process, strengthen clinical path management, control treatment and preoperative preparation time, reduce the number of days in hospital and improve operation efficiency, and reduce the expenses of cesarean section hospitalization.

参考文献/References:

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更新日期/Last Update: 1900-01-01