Analysis of hospitalization expenses and influencing factors of acute appendicitis based on grey correlation analysis / 中华医院管理杂志

ABSTRACT

Objective To analyze the medical expenses of inpatients and its influencing factors in 2014-2016 with acute appendicitis taken as an example, and to put forward policy suggestions for the public hospital reform and the cost control optimization. Methods A total of 4 hospitals were chosen from Zhuhai of Guangdong and Zunyi of Guizhou. 1 114 cases of acute appendicitis were selected to analyze the medical expenses. The influencing factors of hospitalization expenses were analyzed by grey correlation analysis. Results The effect of the cost control of surgical patients was better than non-surgical patients. The total cost of consumables increased obviously. The proportion of non-surgical patients′ drug expenses were 39. 5% , 41. 2% and 41. 7% in 2014 -2016 respectively. The total hospitalization expenses were greatly affected by the treatment expense, diagnostic expense, drug expense, comprehensive medical service expense. The level of medical institutions, age and operation had significant impacts on medical expenses. Conclusions The hospitalization expenses of inpatients with acute appendicitis are influenced by many factors. In order to effectively control the irrational growth of medical expenses, the government is recommended to further strengthen the control of consumables, strengthen the fine management of hospitals and targeted cost control, improve the mechanism of price compensation and deepen the medical insurance payment methods reform.