摘要
目的分析脑梗死患者住院费用的内部构成。方法收集本院2014年至2018年出院的脑梗死患者住院费用数据,利用灰色关联法、结构变动度分析关联程度、结构和变动情况。结果康复治疗费、药费、耗材费是引起脑梗死患者住院费用结构变动的主要项目,累计贡献率74.63%。与次均总费用关联度最高的是康复治疗费(0.982),其次是药费(0.979)、影像学诊断费(0.978)和实验室诊断费(0.972)。结论控费工作初见成效,但仍需优化结构;体现医务人员价值的项目变化不显著,需进一步调整。
Objective To analyze internal composition of hospitalization expense for patients with cerebral infarction.Methods Data of hospitalization expenses from patients with cerebral infarction discharged from 2014 to 2018 were collected,and analyzed with grey correlation and degree of structural variation.Results The costs for rehabilitation treatment,medicines and consumables mainly contributed to structural variation,accumulated to 74.63%.The costs for rehabilitation treatment(0.982),medicine(0.979),imaging(0.978)and laboratory tests(0.972)were the most relative to the average expense of hospitalization.Conclusion It is preliminarily successful for cost control,and needs further impove to respond the contribution of professionals.
作者
王雪
张淑燕
WANG Xue;ZHANG Shu-yan(Beijing Bo'ai Hospital,China Rehabilitation Research Centre,Beijing 100068,China)
出处
《中国康复理论与实践》
CSCD
北大核心
2020年第1期115-119,共5页
Chinese Journal of Rehabilitation Theory and Practice
关键词
脑梗死
住院费用
灰色关联法
结构变动度
cerebral infarction
hospitalization expense
grey correlation
degree of structural variation
作者简介
王雪(1982-),女,汉族,河北冀州市人,硕士,助理研究员,主要研究方向:卫生事业管理;通讯作者:张淑燕,E-mail:zsy0227@126.com。
