A Study Of Related Factors Of Single Disease’s Hospitalization Expenses Composition In A Medical University Affiliated Hospital

Objectives By researching the single diseases hospital expenses composition, the influences of some related factors, analysing the composition of the hospitalization expense proportions, identify medical treatment of be in hospital expenses main related factors, put forward medical expense control measures and suggestions. To supply hospital managers with some concrete control measures of hospitalization expenses of single diseases, provide basic data for management of medical costs of single diseases and medical insurance reform Yun Nan province, and provide health administrative organization with foundation for decision of establishing a Single Sort Disease Payment System in accordance with the Yun Nan actual case and carry out "payment based on the diseases categories "step by step in Yun Nan province.Methods This study was intended to kidney stone disease as the research object. Adopt sectional study and retrospective investigation method, collected a affiliated hospital’s from2007to2011kidney stone disease patients hospitalized discharged from the first of cases, the basic information of all information collected and other relevant clinical data.Collected the qualitative data and quantitative data, conclude, arrange and analyze by statistics methods such as descriptive study, chi-square test, rank sum test and multiple stepwise regression analysis.Results I.The influence of single diseases hospitalization expense of the comprehensive factors include:age,sex,payment methods,days of in hospital, preoperative hospitalization, duration of operations,any complications before operations,any infections after operations, expenses of drugs,any blood transfusions, any past medical histories, presence of times diagnosis, the number of hospital admissions, the complexion of entering hospital,and so on;the most critical influences are expenses of drug,duration of operations,days of in hospital, presence of times diagnosis, preoperative hospitalization, age, any blood transfusions; II. The main efficient methods to controlled single diseases hospitalization expenses were:to control the ratio of drug cost and the average treatment period and period before operation according to clinical, to decrease the operation time and the occurrence of complications, to strengthen the medical of management and guiding the reasonable medical consumptions and to curbing the medical excessive consumptions.Conclusions Expenses for medicine, treatment fee, operation fee, the inspection fee and other expenses are hospitalization structure is an important part of effective control of the hospitalization expense growth point. The influence of single diseases hospitalization expense of the comprehensive factors include:days of in hospital, expenses of drugs, payment methods, duration of operations, presence of times diagnosis, etc. Medical treatment insurance payment for increased costs are influential, according to the single disease prepayment is actuation hospital scientific management, reasonable diagnosis, reasonable check medicine, looking for reasonable treatment processes in an effective way. Reform the management mode, strengthen the single disease clinical pathway management. Establishing standardized, standards, and procedures of disease diagnosis and treatment plan, increase the professionalism of medical service, reduce and control unnecessary medical service of various kinds of diseases diagnostic procedures standardized and realized. Scientific standard medical personnel diagnosis and medical service behavior, reducing waste of resources, improve quality of medical services, by evidence-based medicine as the basis, scientifically and reasonably establish the single disease of clinical pathway, ensure single disease paid work carried out smoothly.