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[目的]探索药费比重与住院总费用之间的关系,提出有效控制药品费用的措施。[方法]以唐山市12所医疗机构的365名急性阑尾炎住院患者的病案首页信息为研究样本,采用线图、简单线性回归和多元线性回归分析方法探索药费比重与住院总费用之间的关系。[结果]药费比重与住院总费用呈现较强的正相关关系(r=0.449,P﹤0.01)。[结论]住院总费用与药品费用占住院总费用的比例关系密切;唐山市各级医院药品费用占住院总费用比例相对较高;应采取必要措施,控制药品费用的不合理上涨。
[Objective] To explore the relationship between the proportion of medical expenses and the total cost of hospitalization and put forward the measures to effectively control the cost of pharmaceuticals. [Method] With the information of the first page of medical record of 365 patients with acute appendicitis in 12 medical institutions of Tangshan City as the research sample, the relationship between the proportion of medical expenses and the total cost of hospitalization was explored by line graph, simple linear regression and multivariate linear regression analysis . [Results] The proportion of medical expenses and total cost of hospitalization showed a strong positive correlation (r = 0.449, P <0.01). [Conclusion] The total cost of hospitalization and the proportion of drug costs in the total cost of hospitalization are closely related. The proportion of the total cost of hospital drug in hospitals of all levels in Tangshan City is relatively high. Necessary measures should be taken to control the unreasonable increase of drug costs.