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目的对子宫肌瘤患者住院医疗费用的影响因素进行分析。方法对乌鲁木齐市某医院妇科2006年12月~2008年1月住院的48例子宫肌瘤患者在住院期间产生的医疗费用进行影响因素的统计分析。结果子宫肌瘤患者的各年龄组、住院天数、付款方式、手术与否、疾病转归对住院医疗费用的影响有统计学差异(P<0.05);医疗费用的主要构成是诊疗费、药费和检查费;住院医疗费用的主要影响因素依次为住院日、疾病转归、年龄、付款方式。结论单病种费用控制是一种有效降低医疗费用的方法,降低检查费和医疗费、实施恰当的诊疗措施、缩短住院日是控制过高医疗费用的关键。
Objective To analyze the influential factors of inpatient medical expenses in patients with uterine fibroids. Methods A statistical analysis was made on the influencing factors of medical expenses incurred by 48 cases of uterine fibroids hospitalized in a hospital from December 2006 to January 2008 in gynecology department of Urumqi. Results There were significant differences in the age, hospitalization days, payment method, operation or not, and the outcome of illness in hospitalization of patients with uterine fibroids (P <0.05). The main components of medical expenses were medical expenses, medical expenses And inspection fees; The main factors affecting hospitalization expenses were hospitalization days, disease outcomes, age, payment methods. Conclusion The cost control of a single disease is an effective way to reduce the medical expenses, reduce examination fees and medical expenses, and implement the appropriate diagnosis and treatment measures to shorten the length of stay is the key to control the excessive medical costs.