论文部分内容阅读
本文分析了某医科大学教学医院95~97 年度正常分娩者住院费用的构成及其影响因素,结果提示:正常分娩者费用构成以处置费为主, 药费比例有所上升; 军免及公费正常分娩的总费用明显高于私费者, 平均住院日大于等于4 天者的总费用明显高于小于4 天者, 而正常分娩者的年龄、入院方式及入院情况则与总费用无关。由此可知, 其医疗费用结构相对合理, 但仍应强化公费医疗管理, 控制可能存在的不合理收费及药物滥用现象, 并尽可能缩短平均住院日, 以控制其费用的不合理增长
This paper analyzes the composition and influencing factors of the hospitalization expenses of normal delivery workers in a medical university teaching hospital from 1995 to 1997. The results suggest that the cost of normal delivery workers is mainly based on disposal fees, and the proportion of drug costs has increased; the military exemption and public funds are normal. The total cost of childbirth is significantly higher than private expenses. The total cost of an average hospital stay of 4 days or more is significantly higher than that of less than 4 days. The age, admission method, and admission status of normal childbirthers are not related to the total cost. It can be seen that the structure of its medical expenses is relatively reasonable, but public funded medical management should still be strengthened to control possible unreasonable charges and drug abuse, and to minimize the average length of hospital stay in order to control the unreasonable increase in its expenses.