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目的了解医院高额费用住院病例的特点和规律。方法对某院××××年全年收治的648份高额费用住院病例进行回顾性调查,系统分析了调查病例的病种和科室分布、身份特征、病情特征、治疗疗效与费用的关系。结果高额费用住院病例中循环系统和恶性肿瘤的病人数量多,主要来自内科科室;影响住院费用的因素是性别、手术、并发症、抢救和治疗疗效等。结论医院实行病种费用管理,可有效规范医疗行为,控制医疗费用。
Objective To understand the characteristics and regularity of high-cost hospitalization in hospitals. Methods A retrospective survey was conducted on 648 high-cost hospitalized cases admitted in a hospital during the year. The systematic analysis was conducted on the relationship between the type of disease and the distribution, identity characteristics, disease characteristics, therapeutic efficacy, and costs of the investigated cases. Results There were many patients with high-cost hospitalizations in the circulatory system and malignant tumors, mainly from internal medicine departments; factors influencing hospitalization costs were gender, surgery, complications, rescue, and curative effects. Conclusion The implementation of disease cost management in hospitals can effectively regulate medical behaviors and control medical expenses.