Analysis Of Hospital Costs Structure And Related Factors Of Three Kinds Of Single Diseases At A A Level Hospital

ObjectiveThe rapid growth of the medical treatment cost that has become a worldwide common facing problems, our country as the largest developing country, also faces medical expense rise and resource waste problem. How to strengthen health economic management, reduce the medical expenses, and solve the common people "doctor expensive and doctor pains" problem has become the current Chinese medicine health reform of the emphases and difficulties. By researching the general hospital in a top three single disease hospitalization expense structure analysis to find various influential factors, understand its influence, analysis of the hospital medical expense proportion and the factors affecting constitute effect intensity, identify medical treatment of be in hospital expenses main influence factors, put forward medical expense control measures and Suggestions. For hospitals in single disease hospitalization cost management, providing a new method for medicine health administrative departments and medical insurance agency to develop single disease pay standards provide related digital basis.MethodsThis paper focus on three kinds of single diseases hospital expenses composition and influence factors of research. Adopt retrospective investigation method, collect a three level of first-class comprehensive hospital 2005-2009 3837 patients hospitalized discharged from the first of cases, the basic information of all information collected by international disease disease classification (ICD - 10), selected the frequently-occurring disease, common disease namely cataract, acute angle-closure glaucoma, nodular strumous three diseases. With the basic information of the medical record homepage for the basis, investigation patients with characteristics of social economy, disease characteristics, the medical quality of such indicators, from information families adopt hospitalization total cost and each part of data. All the information in the database and proofreading establish Execl, for measuring index presses numeric variables to age for qualitative indexes by grade quantitatively. Using statistical package of three SPSS13.0 single diseases of the data statistics analysis, this paper discusses various factors on the hospitalization expense influence and control countermeasures.ResultsThe author of this major chose expenses for medicine, surgery, examination, treatment, bed fee and other expenses six cost as an analysis index. The result showed that in the different diseases, hospital expenses of each cost categories constitute the proportion is endless and same, including expenses for medicine, operations, the inspection fee and other expenses four the proportion of higher. Three diseases in tuberous strumous hospitalization expenses accounts for the largest percentage of the total expense, even up to 38 percent, far higher than western developed countries the expenses of control level. The hospital charge compensation mechanism exists not reasonable place, namely the hospital through drug consumption to compensate, hospital "medicine raise medical" phenomenon still continue to exist. Three types of disease are fever, therefore operation and operation of hospitalization expense large proportion, acute angle-closure glaucoma has reached 22%. Examination in the hospital expenses had a higher proportion of. Acute angle-closure glaucoma examination cost up to a maximum of three kinds of disease is 33%, inspection of the highest. In recent years, high precision, sophisticated equipment introduction and clinical use, they to the refractory disease diagnosis, treatment and health care improve played a positive role, but increased in patients with economic burden. Hospital should reduce repeated inspection and unnecessary inspection, control the cost of health care is not reasonable growth. About other expenses, with the widespread use of disposable hygiene material and other expenses also gradually increased, especially cataract disease and other expenses 66 percent.Through the analysis of the three diseases cure patients found hospital expenses are higher than the inducing patients, hospitalization fees are statistically significant differences. Reason may be due to various reasons inducing patients without further examination, treatment will go through the discharge, causing hospitalization cost is low. Nodular strumous related analysis showed that the hospitalization expense and hospitalization days was significantly positive correlation, along with the extension of hospitalization days, hospitalization cost more and more is also high.Three kinds of diseases medical treatment charge pays way for medical expenses is influenced markedly, are at one's own expenses medical costs less than medicare patients patients medical costs. Only three diseases nodular strumous have second diagnosis of patients hospitalized cost significantly higher, there is great difference tasseled learning significance.ConclusionsExpenses for medicine, operations, 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 of the comprehensive factors include: cost hospitalization days, expenses of drug, payment methods, authors, 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 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 appropriateness 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, ensure and improve the quality of medical treatment, by evidence-based medicine as the basis, scientifically and reasonably determine the single disease of clinical pathway, ensure single disease paid work smoothly implementation.