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目的对影响产妇住院费用的因素进行探讨,为今后控制和减少医疗费用过快增长提供依据。方法对深圳市某医院2013-2014年间收住的2985例住院分娩产妇的住院总费用及相关情况进行分析并利用多重线性回归探讨影响住院费用的相关因素。结果 2985例产妇的平均住院费用为3241.5±1482.1元,影响住院费用的影响因素包括病例分型、分娩方式、是否抢救患者、是否输血、发生产科疾病等,其中对住院费用影响最大的是分娩方式,相比顺产或钳产,采用剖宫产分娩的患者平均住院费用增加2031.8元。结论分娩方式及产科并发症是影响住院费用的主要因素,控制剖宫产率,减少产科疾病、抢救及输血等情况的出现,可以有效控制和减少产妇的住院分娩费用。
Objective To explore the factors influencing maternal hospitalization costs and provide the basis for future control and reduction of excessive medical expenses growth. Methods The total cost of hospitalization of 2985 mothers admitted to hospital in Shenzhen during 2013-2014 was analyzed and the related factors influencing hospitalization costs were analyzed by multiple linear regression. Results The average cost of hospitalization for 2985 mothers was 3241.5 ± 1482.1 yuan. The influencing factors of hospitalization expenses included case type, mode of delivery, whether or not to rescue the patients, whether transfusion, obstetrical diseases, etc. Among them, the most influential factors of hospitalization were childbirth , Compared with natural delivery or forceps, the average cost of hospitalization with cesarean delivery increased 2031.8 yuan. Conclusion The mode of delivery and obstetric complications are the main factors affecting the hospitalization costs. Controlling the incidence of cesarean section and reducing the incidence of obstetric diseases, rescue and blood transfusion can effectively control and reduce the hospitalization and delivery costs of the maternal.