摘要
目的 研究影响老年高血压病ⅡⅢ期患者住院费用的因素 ,进行临床成本分析。方法 采用回顾性方法 ,依据费用严格限制和不限制将 180例患者分为限制组 ( 10 9例 )和非限制组 ( 72例 ) ,在疗效相同情况下 ,对 2组间总费用和 6个项目费用进行比较、分析。结果 限制组和非限制组构成比达到 76 %、限制组为 46 % ,但 2个组降压药的花费仅分别占其药品费的 2 5 %和 4 1% ;非限制组的处置费是限制组的 10 12倍。 2组住院天数无显著差异。结论 非限制组住院费用显著高于限制组 ,但并未缩短住院天数。相反 ,限制组效益 成本比明显好于非限制组。
Objective To study factors affecting senile patients with second or thirdstage hypertension so as to conduct analyses of clinical costs. Methods 180 cases were retrospectively divided into the controlled group(109 cases) and the uncontrolled group (72 cases), depending on whether their medical expenses were under strict control. When the curative effects were the same, a comparison was made between the total expenses as well as the expenses for six items of the two groups. Results The component ratio of the two groups reached 76%, with the controlled group accounting for 46%. But the expenses of drugs for hypertension in each of the two groups only accounted for 25% and 41% of their respective total drug expenses, with the treatment expenses of the uncontrolled group being 1012 times those of the controlled group. There was no significant difference in days of hospitalization between the two groups. Conclusion The hospitalization expenses of the uncontrolled group were significantly higher than those of the controlled group, but its days of hospitalization were not reduced. On the contrary, the ratio of benefits to costs of the controlled group was much better than that of the uncontrolled group. The analysis indicates that it is imperative to reform the medical security system.
出处
《中华医院管理杂志》
北大核心
2000年第6期373-374,共2页
Chinese Journal of Hospital Administration
