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目的分析腹股沟疝手术患者住院费用的影响因素,探寻此单病种的费用控制办法。方法选取腹股沟疝无张力手术患者为研究对象,采用多重线性回归统计学方法回顾性分析住院费用与年龄组、性别、付款方式、有无其他诊断、手术方式、住院天数、术前住院天数、病历分型、是否伴有梗阻或坏疽和单双侧疝的相关性。结果回归模型有统计学意义(F=128.450,P<0.001),回归模型中的回归系数显示,影响住院费用的因素其作用从大到小依次为:手术方式(-6206.470)、单双侧疝(1500.837)、住院天数(1374.836)、术前住院天数(-555.361),R2=0.455。结论控制腹股沟疝单病种住院费用的关键是控制手术一次性医用材料费,缩短住院天数,根据实际优化术前检查检验和手术室接台的流程安排,提高医疗服务价格的同时合理用药和控制高值耗材的使用,可有效降低腹股沟疝单病种的住院费用。
Objective To analyze the influencing factors of hospitalization costs in patients with inguinal hernia and explore the cost control measures of this single disease. Methods Patients with groin hernia undergoing tension-free surgery were selected as study subjects. Multiple linear regression was used to analyze hospitalization costs and age groups, gender, payment method, other diagnosis, operation method, days of hospitalization, days of preoperative hospitalization, Typing, whether associated with obstruction or gangrene and unilateral hernia. Results The regression model was statistically significant (F = 128.450, P <0.001). The regression coefficients in the regression model showed that the factors influencing the cost of hospitalization were in descending order of operation method (-6206.470), unilateral and bilateral hernia (1500.837), hospital stay (1374.836), preoperative hospital stay (-555.361), R2 = 0.455. Conclusion The key to controlling the cost of inpatient inguinal hernia is to control the disposable medical material cost and shorten the hospitalization days. According to the practical optimization of the preoperative examination and operation procedure in the operating room, the cost of medical services should be improved and controlled and controlled rationally The use of high-value supplies, can effectively reduce the cost of hospitalization of a single species of inguinal hernia.