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目的研究某三级甲等医院老年性白内障、胆囊结石、前列腺增生3种常见病住院费用变化趋势及原因。方法提取2007年-2009年3年间每年第一季度出院病人住院费用,假设检验采用方差分析,用SPSS15.0统计软件包进行数据处理。结果总住院费用增加且有统计学差异(P<0.05)。其中西药费和治疗费(含材料费)是增加的主要部分;检查费有一定增加但在其中两种疾病中持平或近两年有下降;麻醉费在两种疾病中增加但占比例较小;护理费虽然增加但因在总费用中所占比例极小可以忽略不计;手术费保持不变或变化很小。老年性白内障和胆囊结石患者住院时间缩短。结论要科学分析住院费用的增长,降低住院费用的关键是控制药品费用。
Objective To study the trends and causes of hospitalization costs of three common diseases of senile cataract, gallstone and benign prostatic hyperplasia in a tertiary hospital. Methods The hospitalization expenses of discharged patients in the first quarter of each year from 2007 to 2009 were extracted. An analysis of variance was used in the hypothesis test, and SPSS15.0 statistical software package was used to process the data. Results The total cost of hospitalization increased with a statistically significant difference (P <0.05). Western medicine and treatment costs (including materials costs) were the major components of the increase; inspection fees increased somewhat but were flat in either of the two diseases or declined in the past two years; anesthesia fees increased in both diseases but accounted for a smaller proportion While the cost of care increased but the share of total costs was negligible, the cost of surgery remained the same or changed little. Patients with senile cataract and gallbladder stones have shorter hospital stays. Conclusion To scientifically analyze the growth of hospitalization expenses, the key to reducing hospitalization expenses is to control the cost of medicines.