2015年北京市二三级医院长期住院患者医疗费用分析

doi:10.3969/j.issn.2096-045X.2017.02.014

医学教育管理 ›› 2017, Vol. 3 ›› Issue (2): 146-150.doi: 10.3969/j.issn.2096-045X.2017.02.014

2015年北京市二三级医院长期住院患者医疗费用分析

臧　白¹，尚少梅²，万巧琴²，邓小虹³

1. 首都医科大学卫生管理与教育学院，北京 100069；2. 北京大学护理学院，北京 100191；3. 北京市医院管理研究所，北京 100050

收稿日期:2017-02-27 出版日期:2017-04-20
通讯作者: 邓小虹
基金资助:
北京市卫生和计划生育委员会与北京大学医学部“护理院建设相关课题研究项目”（20160115）

Analysis of hospitalization cost for long-term care patients of secondary and tertiary hospitals in Beijing in 2015

Zang Bai¹, Shang Shaomei², Wan Qiaoqin², Deng Xiaohong³

1. School of Health Management and Education, Capital Medical University, Beijing 100069, China;2. Nursing School, Beijing University, Beijing 100191, China;3. Beijing Institute of Hospital Administration, Beijing 100500, China

Received:2017-02-27 Online:2017-04-20
Contact: Deng Xiaohong

摘要/Abstract

摘要： 目的　分析2015年北京市二三级医院长期住院患者医疗费用状况和影响因素,探讨适合北京市长期住院患者的付费方式。方法　描述性分析长期住院患者的人群基本情况、住院费用和日均费用，采用多元线性回归分析日均费用的影响因素。结果　长期住院患者在北京市二三级医院的住院医疗费用占比11.12%。循环系统疾病、肿瘤、呼吸系统疾病患病人数较多。年龄分段、住院天数分段、入院ADL分级和疾病类型都对日均费用有影响。结论　长期住院患者占用医疗资源比例较大，应发挥护理院的专业长期护理机构的作用。在护理院中，积极探索按床日付费的支付方式，制定合理的付费标准。

Abstract: Objective　To analyze the hospitalization cost and the influencing factors of long-term inpatients in Beijing secondary and tertiary hospitals and to provide the basis for formulating reasonable payment system. Methods　Using descriptive analysis for the long-term inpatients’ cost and daily cost, and analyzed the influencing factors of daily cost by multiple regression analysis. Results　The long term inpatients’ cost in Beijing secondary and tertiary hospitals covers 11.12% of the total inpatients’ cost. The proportion of drug cost in their total cost was 47.44%. A large number of the patients suffered from circulatory system diseases, tumors and respiratory diseases. Age, hospitalization period, payment system, activity of daily living, system disease classification had impact on their daily cost. Conclusion　The proportion of medical resources occupied by long-term inpatients in Beijing is considerably large. Nursing home should play a professional role in long-term care. In nursing homes, researches on exploring the daily-cost payment and developing reasonable payment standards are important.

臧　白，尚少梅，万巧琴，邓小虹. 2015年北京市二三级医院长期住院患者医疗费用分析[J]. 医学教育管理, 2017, 3(2): 146-150.

Zang Bai, Shang Shaomei, Wan Qiaoqin, Deng Xiaohong. Analysis of hospitalization cost for long-term care patients of secondary and tertiary hospitals in Beijing in 2015[J]. Medical Education Management, 2017, 3(2): 146-150.

2015年北京市二三级医院长期住院患者医疗费用分析

Analysis of hospitalization cost for long-term care patients of secondary and tertiary hospitals in Beijing in 2015

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