A Research Of Hospitalization Costs And Influential Factors On Costs In Hospital Based On Single Disease Case Limited To (Be) The Payment

Objectthe paper attempt to analyze hospital payment about Single disease case limited to (be) the payment in a hospital in Guangzhou. The comparison between single disease case limited to (be) the payment and unlimited. And research the effect of control cost about health insurance policy. in contrast. Single disease case limited to (be) the payment where have much advantaged and appear role about health insurance or not. The paper find out payment that affect total costs. The analyzing main influence factors on hospital cost increasing and provide evidence on control medical expense.The study limitation and scope of Single disease case limited to (be) the payment policy. There analyzing single disease case of hospital payment in three years based on case categorization. On time, the analyze management method of single disease case where bring dilemma or not.MethodI choose single disease case limited to (be) the payment in a hospital in Guangzhou. Including the Cesarean Section,spontaneous labor, kidney transplant, knee replacement, hip replacement, replacement for femoral head. In bone and joint replacement in four patients because of spine disease is complicate and large differences in the implementation of surgery, so did not opt-in study. I use this single disease case patient information and hospital costs from June 30 2006 to July 1 2009. It is made four groups based on the method payment:at patients own expense, Guangzhou medical insurance, other health insurance (Panyu, Dongguan, Zhongshan medical insurance, etc.), free medical care of patients. The comparison hospital payment among four the method payment based on case categorization. The main analyzing main payment difference between Guangzhou health insurance and other patients, And Guangzhou health insurance compared with AB,CD type case of other method payment of patients,And analyzing main factors impact on hospital costs.ResultAccording to describe patient's information. We found the primary case categorization is CD type. Except 48 percentage CD type case in normal labor, there are more than 70 percentage CD type case in other three disease. The main method payment is at their own expense.The fee of treatment, surgery, bed, medicine and blood is a big proportion in total cost. There are three factors affect total costs. They are hospital departments, hospital stay, the first nursing days; in average expense, the total costs of CD type case greater than AB type case.In AB type case of cesarean section, the total costs have difference among four payment. The least average costs is patients of health insurance in Guangzhou. The largest average cost is medical service at state expense. In CD type case, bed fee, physical examination fee have discrepancy under the four payment. The least average costs is patients of health insurance in Guangzhou. The comparison in patient costs of health insurance in Guangzhou and AB and CD type case of other patients. The total costs, nursing costs, physical test costs, operation costs, especially test cost, medicine costs have discrepancy in three type patients.In AB type case of normal labor, there are have difference in total costs, bed costs, nursing costs. The sequence of average total costs is:at their own expense