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目的对某三级甲等医院2003年～2004年收治的急性心肌梗死住院患者为对象进行研究,为费用控制和合理费用分担提供决策依据。方法分别统计478例急性心肌梗死患者的住院日、出院情况、付费方式、治疗方式、住院总费用及其分项,并用Excel进行数据处理。结果公费患者的平均住院日、例均住院费用高于医疗保险和自费患者；行冠状动脉搭桥术(CABG)的患者平均住院日最长且住院费用最高。结论严格控制医疗费用的开支,缩小公费、医保、自费患者的差距；根据病情特点选用最佳效费比的治疗方法,降低材料费、药费等相关费用,总费用的增长趋势就会得到控制,从而大大缓解医疗保险和个人负担。
Objective To study the hospitalized patients with acute myocardial infarction admitted to a tertiary hospital from 2003 to 2004, and provide decision-making basis for cost control and reasonable cost-sharing. Methods The hospitalization days, discharges, payment methods, treatment methods, total cost of hospitalization and sub-items of 478 patients with acute myocardial infarction were statistically analyzed and the data were processed by Excel. Results The average length of hospital stay, the average cost of hospitalization per hospitalized patients were higher than those of medical insurance and self-pay patients. The patients who underwent coronary artery bypass grafting (CABG) had the longest average hospital stay and the highest hospitalization cost. Conclusions Strict control over medical expenses, narrowing the gap between public health insurance, medical insurance and self-pay patients; according to the disease characteristics, the best cost-benefit ratio treatment method is adopted to reduce the costs related to materials and medical expenses, and the growth trend of the total cost will be controlled , Which greatly ease the medical insurance and personal burden.