脑梗死患者住院费用结构分析：基于结构变动度和灰色关联法

doi:10.3969/j.issn.1006-9771.2020.01.021

Abstract

Abstract:

Objective To analyze internal composition of hospitalization expense for patients with cerebral infarction.
Methods Data of hospitalization expenses from patients with cerebral infarction discharged from 2014 to 2018 were collected, and analyzed with grey correlation and degree of structural variation.
Results The costs for rehabilitation treatment, medicines and consumables mainly contributed to structural variation, accumulated to 74.63%. The costs for rehabilitation treatment (0.982), medicine (0.979), imaging (0.978) and laboratory tests (0.972) were the most relative to the average expense of hospitalization.
Conclusion It is preliminarily successful for cost control, and needs further impove to respond the contribution of professionals.

Key words: cerebral infarction, hospitalization expense, grey correlation, degree of structural variation

CLC Number:

R197.7

WANG Xue,ZHANG Shu-yan. Hospitalization Expense for Patients with Cerebral Infarction: Based on Degree of Structural Variation and Grey Correlation[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2020, 26(1): 115-119.

Figures/Tables 5

References 29

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项目	2014	2015	2016	2017	2018	合计
一般治疗服务费	2495.15(8.38)	2486.94(8.38)	2477.61(8.71)	2427.24(8.77)	2428.06 (8.79)	12349.24(8.60)
一般治疗操作费	1116.65(3.75)	1113.04(3.75)	1111.14(3.91)	1111.71(4.02)	1090.98 (3.95)	5558.95(3.87)
护理费	1032.17(3.47)	1028.78(3.46)	1025.43(3.61)	943.13 (3.41)	937.59(3.40)	4981.05(3.47)
实验室诊断费	3110.45(10.44)	3102.57(10.45)	3074.15(10.81)	2992.14(10.82)	2982.39 (10.80)	15304.22(10.66)
影像学诊断费	1374.46(4.61)	1370.35(4.62)	1400.39(4.92)	1332.56(4.82)	1311.39 (4.75)	6808.12(4.74)
药费	11545.60(38.76)	11508.52(38.76)	10926.75(38.42)	10490.70 (37.92)	10155.07 (36.77)	54780.50(38.15)
耗材费	1726.38(5.80)	1720.71(5.80)	1718.93(6.04)	1362.70 (4.93)	1273.66 (4.61)	7824.95(5.45)
康复治疗费	5354.24(17.98)	5336.68(17.97)	3972.47 (13.97)	5278.18 (19.08)	5785.30(20.95)	25795.87(17.55)
中医治疗费	552.90(1.86)	551.01(1.86)	1266.85 (4.45)	395.45(1.43)	422.94(1.53)	3198.75(2.65)
监护输氧费	1059.17(3.56)	1055.56(3.56)	1053.76 (3.70)	943.13(3.41)	832.74 (3.02)	4958.59(3.44)
其他费用	418.49(1.39)	417.06(1.40)	416.35 (1.46)	387.49(1.40)	395.90(1.43)	2040.94(1.42)
次均费用	29785.66(100.00)	29691.22(100.00)	28443.83(100.00)	27664.43 (100.00)	27616.02(100.00)	143601.16(100.00)

费用项目	结构变动值
费用项目	2014-2015	2015-2016	2016-2017	2017-2018	2014-2018
一般治疗服务费	0.00	0.33	0.06	0.02	0.41
一般治疗操作费	0.00	0.16	0.11	-0.07	0.20
护理费	-0.01	0.15	-0.20	-0.01	-0.07
实验室诊断费	0.01	0.36	0.01	-0.02	0.36
影像学诊断费	0.01	0.30	-0.10	-0.07	0.14
药费	0.00	-0.34	-0.50	-1.15	-1.99
耗材费	0.00	0.24	-1.11	-0.32	-1.19
康复治疗费	-0.01	-4.00	5.11	1.87	2.97
中医治疗费	0.00	2.59	-3.02	0.10	-0.33
监护输氧费	0.00	0.14	-0.29	-0.39	-0.54
其他费用	0.01	0.06	-0.06	0.03	0.04
结构变动度(%)	0.05	8.67	10.57	4.05	8.24

项目	2014-2015	2015-2016	2016-2017	2017-2018	2014-2018
一般治疗服务费	0.00	3.81	0.57	0.49	4.98
一般治疗操作费	0.00	1.85	1.04	1.73	2.43
护理费	20.00	1.73	1.89	0.25	0.85
实验室诊断费	20.00	4.15	0.09	0.49	4.37
影像学诊断费	20.00	3.46	0.95	1.73	1.70
药费	0.00	3.92	4.73	28.40	24.15
耗材费	0.00	2.77	10.50	7.90	14.44
康复治疗费	20.00	46.14	48.34	46.17	36.04
中医治疗费	0.00	29.87	28.57	2.47	4.00
监护输氧费	0.00	1.61	2.74	9.63	6.55
其他费用	20.00	0.69	0.58	0.74	0.49

项目	2014	2015	2016	2017	2018
一般治疗服务费	1.000	0.999	0.758	0.921	0.813
一般治疗操作费	1.000	0.999	0.943	0.909	0.931
护理费	1.000	0.999	0.943	0.827	0.779
实验室诊断费	1.000	0.999	0.952	0.953	0.955
影像学诊断费	1.000	1.000	0.987	0.971	0.933
药费	1.000	0.999	0.946	0.978	0.973
耗材费	1.000	0.999	0.913	0.943	0.961
康复治疗费	1.000	0.999	0.944	0.996	0.972
中医治疗费	1.000	0.999	0.333	0.758	0.805
监护输氧费	1.000	0.999	0.944	0.946	0.826
其他费用	1.000	0.401	0.946	0.938	0.936

项目	关联度	关联序
一般治疗服务费	0.899	9
一般治疗操作费	0.957	6
护理费	0.91	8
实验室诊断费	0.972	4
影像学诊断费	0.978	3
药费	0.979	2
耗材费	0.963	5
康复治疗费	0.982	1
中医治疗费	0.779	11
监护输氧费	0.943	7
其他费用	0.844	10

Hospitalization Expense for Patients with Cerebral Infarction: Based on Degree of Structural Variation and Grey Correlation

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