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通过对11个高危病房[1]1977例住院病人的前瞻调查和有、无院内感染者直接医疗费用的同期对照研究。发现各病种院内感染者人均医疗费用均明显超过无院内感染者。其中血液内分级病例最突出,人均增支4820.81元。增支较多的前四项是药品费、治疗费、材料费及住院费。医疗费用增支幅度不但与开支项目有关且随病种而异。本文同时还讨论了医疗费用增支的原因及降低医疗费用的措施。
Through a prospective investigation of 1977 inpatients in 11 high-risk wards [1] and a concurrent control study of direct medical costs for those with and without hospital infections. It was found that the per capita medical expenses for nosocomial infections in all diseases were significantly higher than those without in-hospital infection. Among them, the grading cases in blood were the most prominent, with an average increase of 4820.81 yuan per capita. The top four items for which the increase is more significant are medical expenses, treatment fees, material fees, and hospital fees. The increase in medical expenses is not only related to expenditure items but also varies with the type of disease. This article also discussed the reasons for the increase in medical expenses and measures to reduce medical costs.