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目的 分析住院正常分娩的费用及其影响因素 ,控制医疗费用的过快增长。方法 对云南省两所省级和两所地级医院 1 996— 2 0 0 0年 5年收住的 95 6 6例主要诊断为正常分娩的出院病例的总费用及各项费用进行分析和比较 ,并用多元逐步回归分别对两级医院正常分娩总费用的影响因素进行了分析。结果 省级医院平均每例的住院天数、住院总费用、床位费、治疗费、接生费、药费和检查化验费高于地级医院 ,而地级医院的手术费和其它费用高于省级医院。影响总费用的因素省级医院为住院天数、年份、医院、职业、医疗待遇和手术 ,地级医院为医院、住院天数、年份、手术、年龄和医疗待遇。结论 两级医院正常分娩病例的住院天数、总费用以及各项费用均有差异 ,对总费用的影响因素在两级医院不尽相同 ,但主要的影响因素为医院、住院天数、年份、手术、医疗待遇等
Objective To analyze the cost and influencing factors of normal delivery in hospital and control the excessive growth of medical expenses. Methods To analyze and compare the total expenses and expenses of 95.66 hospital discharge cases that were diagnosed as normal deliveries in 5 provinces and two prefecture-level hospitals in Yunnan Province from 1996 to 2000. , And multivariate stepwise regression were used to analyze the influencing factors of the total cost of normal delivery in two hospitals. Results The average number of hospital stays, total hospital fees, bed fees, treatment fees, delivery fees, drug fees, and laboratory tests for provincial hospitals were higher than that of prefecture-level hospitals. The operating costs and other costs of provincial hospitals were higher than provincial ones. hospital. Factors Affecting Total Costs Provincial hospitals are hospital days, years, hospitals, occupations, medical treatment, and surgery. District hospitals are hospitals, hospital days, years, surgery, age, and medical treatment. Conclusion The number of days of hospitalization, total expenses and various expenses of the normal delivery cases in the two-level hospitals are different. The influencing factors on the total costs are not the same in the two-level hospitals, but the main influencing factors are hospitals, hospitalization days, years, surgery, Medical treatment, etc.