The Study On The Influence Factors Of Hospitalization Expenses Between The Same Class Hospital

Objective This paper focus on the factors of inpatient costs between the same class of general hospital, to identify possible influence factors and the intensity of the factors, and provide the reasonable cost control methods.Through the comparative analysis to analyze the hospitalization expense of the same class and its influence factor, to discuss the hospitalization expense at the same class for the same disease, to analyze the differences of hospital charges between the same class of general hospital, to provide reference for reasonable hospitalization expenses.Methods It chooses two upper second class general hospitals in Taiyuan,use single fetus natural delivery and coronary heart disease in 2009 as the sample.The data comes from the information of home page in the medical records, remove the single fetus natural delivery cases with secondary diagnosis and the cases of missing key information,standards-compliant patients were 589 cases, of which 201 patients with single fetus natural delivery (hospital A including 97 patients, hospital B 104 cases), coronary heart disease 388 (hospital A including 176 cases, hospital B including 212 cases). All data were analyzed by SPSS 16.0.Results(1) Both of the source of patient and inpatient cost structure have varying difference;(2) The coverage of health insurance in two hospital were 27.84% and 5.77%;(3) The same class hospital have different hospitalization costs, the average cost of single fetus natural delivery were 2,195.16 yuan and 2,719.91 yuan, coronary heart disease were 5,741.16 yuan and 9,313.22 yuan;(4)The most important influence factors of the hospitalization cost is the length of stay and the proportion of drug expenses;(5) The main effective methods of expenses control are:Combined with clinical trial to shorten the average length of stay, to control the drug use,to reduce the proportion of drug expenses, strengthen management, and to induce the rational health care consumption.Conclusion The insurance in women of childbearing age should be solved;When measuring hospital charges in the case, it should focus on the reasonableness of the charge structure rather than the proportion of drug costs; The same disease even in the same class hospital still have different costs, the uncontrollable factors should be considered when health care institutions formulate the cost standards; Shorten the length of stay and control the cost of medicine are the main methods to control the hospital expenses.