摘要
目的研究住院患者因医院感染所造成的经济损失,明确医院感染管理重要性及效益最大化的科学依据。方法回顾性抽取阜阳市2015年度9所医疗机构住院病例314例,按照医院感染患者和非感染患者从年龄、性别、疾病诊断、感染发生部位、同期住院等因素进行1∶1条件性匹配,采用配对秩和检验比较病例组和对照组的医疗费用和住院日数差异,计算医院感染造成的经济损失。结果每例患者由医院感染所造成的经济损失(中位数)为7 129元,增加住院日数(中位数)为7d;增加的医疗费用因感染科室不同存在差异,其中ICU每例患者由医院感染所造成的经济损失(中位数)为34 707元,内科系统、外科系统每例患者由医院感染所造成的经济损失(中位数)分别为2 304元和9 102元;主要增加费用来源药品费用、治疗费、护理费、检查费、床位费等(P<0.01)。结论控制医院感染可极大地降低医疗费用,缓解紧张的医疗资源,对医院适应当前医药卫生改革的形势极为有利。
OBJECTIVE To investigate the economic loss of hospitalized patients due to nosocomial infections,define the importance of management of nosocomial infections,and provide scientific basis for maximizing the benefits.METHODS A total of 314 patients who were hospitalized in 9medical institutions of Fuyang in 2015 were retrospectively extracted,then the 1∶1conditional matching was carried out for the patients with nosocomial infections and the patients without nosocomial infections according to the factors such as the ages,genders,diagnosis of diseases,infection sites,and hospital stay.The medical cost and length of hospital stay were observed and compared between the case group and the control group by means of paired rank sum test,and the economic loss due to the nosocomial infections was calculated.RESULTS The economic loss due to the nosocomial infections（the median）was 7 129 yuan for each patient,the medial length of hospital stay was increased by 7days.The departments varied in the increased medical cost,the median economic loss due to the nosocomial infection was 34 707 yuan for each ICU patient,2 304 yuan for each patient of the internal medicine department,9 102 yuan for each patient of the surgical department.The majority of the increased costs included the drug costs,treatment costs,nursing fees,examination fees,and bed fees（P0.01）.CONCLUSION The control of the nosocomial infection can remarkably reduce the medical costs and ease tension of medical resources,and it is extremely favorable to the current reform of medicine and health.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2016年第18期4268-4270,共3页
Chinese Journal of Nosocomiology
基金
安徽省卫生厅预防医学与公共卫生科研课题(2011Y0224)
关键词
医院感染
匹配
经济损失
研究
Nosocomial infection
Matching
Economic loss
Study
