摘要
目的对社区卫生服务中心临终关怀的住院费用进行分析。方法选取2012—2013年社区卫生服务中心临终关怀病区收治的晚期癌症患者85例,为A组;同期收治的普通病区常见病、多发病患者84例,为B组;2006—2007年普通病区收治肿瘤患者88例,为C组,收集三组住院病例费用资料。进行组间比较,单因素方差分析。结果 A组的住院费用低于C组,但高于B组。三组病例的床位费、药费、诊疗费、检查费及护理费差异有统计学意义(P<0.01),治疗费用差异无统计学意义(P>0.05)。结论受政策制度及理念的影响,临终关怀住院利用方面,过度医疗现象得到了有效遏制,住院费用下降是必然;但临终关怀的特殊医疗服务、住院费用及药费高于非临终关怀是必要也是必需。
OBJECTIVE To analyze the hospitalization cost of community health center of hospice care METHODS 85 advanced cancer patients from hospice care ward of the community health service center from 2012 in 2013 were as A group;84 patients with common disease from general ward in the same period,for the B group;88 patients with tumor in common ward from 2006 to 2007,for the C group.It collected hospitalized cases cost data from three groups.Comparison among groups were involved in single factor analysis of variance.RESULTS A group of hospital costs lower than C group,but higher than B group.The three groups had statistical significance in bed charges,fees,medical fees,examination fees and nursing fee difference（P〈0.01）,there was no statistically significant difference in treatment costs（P〉0.05）.CONCLUSION Affected by the policy and philosophy,hospice care inpatient utilization,overtreatment phenomenon had been effectively curbed,hospital costs decline was inevitable;but hospice care therapy special medical service support,the cost of hospitalization was higher than that in non hospice care was necessary and required.
出处
《中国初级卫生保健》
2015年第11期10-11,共2页
Chinese Primary Health Care
基金
2012年上海市徐汇区医学科研项目(SHXH 201244)
关键词
临终关怀
住院费用
社区卫生服务
community health service
hospice care
hospitalization cost
