急性胰腺炎患者住院费用构成和每日费用变化

Hospitalization Expenses Structure and Daily Change of Acute Pancreatitis Patients

摘要: 目的：分析急性胰腺炎患者住院期间每日费用变化趋势，了解急性胰腺炎治疗中的床位费占比和药占比。方法：收集山东省某三甲医院2013~2016年收治入院的238名急性胰腺炎患者住院费用，用SAS9.1软件进行数据分析。结果：2013~2016年急性胰腺炎患者住院总费用有所增加，西药费在总费用中占比为67%左右，床位费和医护人员技术费占比分别为2%和5%左右，化验和检查费占比约为15%。床位费占每日总费用的百分比在总住院日的73%左右位置出现上升拐点。结论：医护人员劳动价值和技术价值未能体现，病人未能做到及时转诊。急性胰腺炎患者住院费用中的药占比过高。应加强急性胰腺炎临床路径实施和管理，降低药占比，提高医生和护士医疗服务价格，及时转诊，提高医院床位周转率和运行效率。

Abstract: Objectives: To analyze the daily expenses change of acute pancreatitis patients, and to discuss the different proportion between western medicine costs and bed day costs respectively during their hospitalization. Methods: We collected the hospitalization costs of 238 patients with acute pan-creatitis admitted to a top-class hospital in Shandong Province from 2013 to 2016, and analyzed the data with SAS9.1 software. Results: The total costs were increasing from 2013 to 2016. The cost of western medicine accounted for about 67 percent of total costs, 2 percent for bed, 5 percent for medical personnel and about 15 percent for testing and inspection. When the patients’ actual length of hospitalization days was 73% of their total ones, the proportion of bed day cost would sharply increase. Conclusion: The labor value and technical value of the medical personnel failed to be reflected. The patient was not transferred in time. Proportion of western medicine was too high. Hospitals should strengthen the clinical pathway implementation and management of acute pancreatitis, reduce the proportion of western medicine, raise the price of medical personnel ser-vices and improve hospital bed turnover and efficiency.