The Analysis Of Expenditure And Influencing Factors About Insured Employees In Hospital Of XiangXi In Hu Nan Between 2003～2007

Objective: To find out the structure and movement rule and analysis influencing factors of hospitalization expenditure about insured employees, offer referenced gists for controlling the inpatient's expenditures and perfecting the insured policy.Methods: Using Exel software to sort the data of basic and expending informations about insured employees in People's Hospital of Xiang Xi during 2003-2007, data disposal and coding, then using SPSS 13.0 to treat the data with describe, single variable analysis and logistic regress model.Results: According to the basic informations, we can see the average age of inpatients is 54.63, 40.4% are older than 60; male: female is 1.45:1; 63.9% inpatients live in hospital less then 15 days; 52.4% inpatients are on work and 47.6% retired; 57.8% curative effect are mend, while 0.8% are died; the top three diseases of hospitalization are Diseases of circulatory system, Diseases of digestive system, Diseases of breathing system; 56.8% inpatients belong to state, and 0.2% belong to fluid units. The result of expending informations is the average expenditures is 4231.30 yuan, 49.2% spend between 3000 to 10000, and 16.8% spend above 10000; the top three diseases of expenditures are Tumour, Trauma and Diseases of circulatory system, expenditures are not the same with different diseases; the expenditures of drug take up mostly part of the total expenditures. Single variable analysis and logistic regress model can tell us that there are nine factors can effort the expenditure about insured employees: year, age, sex, days live in hospital, work or not, curative effect, administer unit, operation or not, serious illness or not .Expenditures before the year 2005 are higher than now; the age above 60 inpatients spend more money than other ages; male spend more money on disease more than female; the expenditures become higher along with the day you live in hospital; retired people spend more money on disease more than people on work; the died inpatients spend most money among all inpatients; fluid units workers spend money on disease than other units; operation and serious illness can increase the expenditures.Conclusion: Most insured employees are old peoples, and male inpatients are more than female; The top three diseases of hospitalization are Diseases of circulatory system, Diseases of digestive system, Diseases of breathing system and the top three diseases of expenditures are Tumour, Trauma and Diseases of circulatory system; The expenditures of drug take up mostly part of the total expenditures; The nine factors which can effort the expenditure about insured employees are year, age, sex, days live in hospital, work or not, curative effect, administer unit, operation or not, serious illness or not.