成都市某儿童医院冠心病住院患者日病床费用及消耗率的时间序列分析

IF 2.7 4区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Risk Management and Healthcare Policy Pub Date : 2025-07-02 eCollection Date: 2025-01-01 DOI:10.2147/RMHP.S522080
Honglin Yang, Siyu Xiang, Yuwei Yang
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引用次数: 0

摘要

目的:本研究旨在研究2019年至2024年成都市某儿科医院先天性心脏病(CHD)住院患者每日床位费用和耗材费用比例的变化趋势,并对2025年的这些指标进行预测。方法:利用SPSS 23.0版本,采用指数平滑法和ARIMA模型对2019 - 2023年冠心病住院患者每日住院费用数据进行分析,构建预测模型。预测了2024年的年度数据,随后与实际值进行了比较,以评估模型的准确性。对平均绝对百分比误差(MAPE)图进行可视化,以确定最优模型,并利用该模型预测2025年的日常病床费用和消耗品费用比。结果:2019年至2023年,冠心病患者的日常病床费用和耗材费用比均呈现逐年上升趋势。2024年,这一数字有所下降,预计2025年将分别增长约5600元和47%。结论:在操作建议方面,建议医院优先管理冠心病高值耗材,并考虑在心血管科开展疾病成本核算试点。从政策角度来看,迫切需要优化中国现有的儿科医院医保支付体系,以应对不断上升的医疗成本。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Time Series Analysis of Daily Bed Costs and Consumption Ratio of Inpatients with CHD in a Children's Hospital in Chengdu.

Objective: This study aims to examine the evolving trends in daily bed costs and the ratios of consumables costs for inpatients with congenital heart disease (CHD) at a pediatric hospital in Chengdu from 2019 to 2024 and to project these metrics for the year 2025.

Methods: Utilizing SPSS version 23.0, we employed exponential smoothing and ARIMA models to analyze the daily bed cost data of CHD inpatients from 2019 to 2023, constructing predictive models accordingly. The annual data for 2024 were forecasted and subsequently compared with actual values to assess model accuracy. Visualization of Mean Absolute Percentage Error (MAPE) charts was conducted to identify the optimal model, which was then utilized to predict daily bed costs and consumables cost ratios for 2025.

Results: Between 2019 and 2023, both daily bed costs and consumables cost ratios for CHD patients exhibited a consistent annual increase. A decline was noted in 2024, with projections for 2025 suggesting increases to approximately 5,600 CNY and 47%, respectively.

Conclusion: For operational recommendations, it is advised that the hospital prioritizes the management of high-value consumables in CHD care and considers piloting disease-specific cost accounting within cardiovascular departments. From a policy perspective, there is an urgent need to optimize China's existing medical insurance payment system for pediatric hospitals to address the rising healthcare costs.

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来源期刊
Risk Management and Healthcare Policy
Risk Management and Healthcare Policy Medicine-Public Health, Environmental and Occupational Health
CiteScore
6.20
自引率
2.90%
发文量
242
审稿时长
16 weeks
期刊介绍: Risk Management and Healthcare Policy is an international, peer-reviewed, open access journal focusing on all aspects of public health, policy and preventative measures to promote good health and improve morbidity and mortality in the population. Specific topics covered in the journal include: Public and community health Policy and law Preventative and predictive healthcare Risk and hazard management Epidemiology, detection and screening Lifestyle and diet modification Vaccination and disease transmission/modification programs Health and safety and occupational health Healthcare services provision Health literacy and education Advertising and promotion of health issues Health economic evaluations and resource management Risk Management and Healthcare Policy focuses on human interventional and observational research. The journal welcomes submitted papers covering original research, clinical and epidemiological studies, reviews and evaluations, guidelines, expert opinion and commentary, and extended reports. Case reports will only be considered if they make a valuable and original contribution to the literature. The journal does not accept study protocols, animal-based or cell line-based studies.
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