严敬琴,彭小冬,刘慧铭,刘铁榜.基于新灰色关联与结构变动度的精神障碍患者住院费用结构分析[J].四川精神卫生杂志,2019,32(5):437-441.
基于新灰色关联与结构变动度的精神障碍患者住院费用结构分析
Structural analysis of hospitalization expenses of patients with mental disorder based on new gray relational and structural variation degree
投稿时间:2019-05-25  
DOI:10.11886/j.issn.1007-3256.2019.05.011
中文关键词:  精神障碍  住院费用  新灰色关联法  结构变动度
英文关键词:Mental disorder  Hospitalization expenses  The new gray relational analysis method  The structural change degree
基金项目:深圳市医疗卫生三名工程(SZSM201512038);深圳市卫生计生系统科研项目(SZWG2017005 )
作者单位邮编
严敬琴 安徽医科大学深圳精神卫生临床学院深圳市康宁医院深圳市精神卫生中心 518020
彭小冬 深圳市康宁医院深圳市精神卫生中心 518020
刘慧铭 深圳市康宁医院深圳市精神卫生中心 518020
刘铁榜 安徽医科大学深圳精神卫生临床学院深圳市康宁医院深圳市精神卫生中心 518020
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中文摘要:
      目的 了解深圳市某精神专科医院2013年-2017年精神障碍患者住院费用的构成及变化趋势,探讨影响住院费用结构变动的主要项目及变化方向。方法 收集深圳市某精神专科医院2013年-2017年出院精神障碍患者住院费用信息并建立数据库。运用新灰色关联分析法分析各项目费用与总费用的关联,采用结构变动度分析法分析5年间住院费用的结构变动情况。结果 2013年-2017年精神障碍患者人均住院总费用增加了4 603.95元,年均增长率为9.37%。综合医疗服务类费用对总费用的影响最大,其次为诊断类和治疗类费用。5年间住院费用结构变动度为76.06%,年均结构变动度为19.02%。影响住院费用结构变动度的主要项目是治疗类、综合医疗服务类和诊断类,三者累计结构变动贡献率为93.13%。结论 总费用构成主要项目由治疗类转为综合医疗服务类,新灰色关联和结构变动度分析法能较好地应用于精神障碍患者住院费用分析。
英文摘要:
      Objective To investigate the composition and variation trend of hospitalization expenses of mental disorder inpatients in a psychiatric hospital in Shenzhen from 2013 to 2017, to explore the main factors affecting the hospitalization expense structure, and to determine its change direction.Methods In this study, a database was established based on hospitalization expense information of discharged mental disorder patients from a psychiatric hospital in Shenzhen from 2013 to 2017. The new gray relational analysis method was used to analyze the relationship between the single item cost and the total cost, then the structural variation degree method was used to analyze the structural changes of hospitalization expenses during the five years.Results From 2013 to 2017, the per capita total hospitalization expenses of mental disorder inpatients increased by 4 603.95 RMB, with an average annual growth rate of 9.37%. The cost of comprehensive medical service had the biggest impact on the total cost, followed by the diagnosis cost and treatment cost. The five-year change of hospitalization expenditure structure was 76.06%, and the average annual change was 19.02%. The main items affecting the structural change of hospitalization expenses included treatment, comprehensive medical services and diagnosis. The cumulative contribution rate of these three items was 93.13%.Conclusion The main items of the total cost are transformed from the treatment category to the comprehensive medical service category. The application of new gray relational analysis and structural variation analysis method plays a vital role in the analysis of hospitalization expenses of patients with mental disorders.
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