在住院

This article makes a research into analysis of and control over influential factors of single disease's hospitalization expenses in polyclinic. It chooses a level-3 and grade-A army hospital and a certain county's level-2 and grade-A as the sample to compare their structures and differences of hospitalization expenses of 2681 patients, with some being sick of gallstone accompanying with chronic cholecystitis treated by gallbladder- removed with laparoscopy and others treated by hysterotomy, particularly to analyze the influential factors of single disease's hospitalization expenses.

本文围绕综合医院单病种住院费用影响因素与控制开展研究，采用文献调研、专家访谈、数学统计等方法，选择某军队三级甲等医院与某地方区县二级甲等医院，分别对胆囊结石伴慢性胆囊炎与剖宫产共2681例患者的住院费用构成及差异进行了分析比较，重点对A院单病种住院费用的影响因素进行单因素分析，在此基础上建立了住院费用影响因素的多元逐步回归模型，探讨各因素对住院费用的影响及控制对策。

There were no significant difference between diabetics in hospital and diabetics who had participated diabetes education in gender,age,marital status,occupation, education level and the form of medical expenses.It is suggested that the two groups come from the same patients. 2.According to the result of content validity and retest reliability,questionnaire of compliance has a good validity and reliability.According to the result of consistence test,collection validity,discrimination validity and construct validity,SF-36 has a good validity and reliability.3.We used self paired comparison to analyze the data of the treatment compliance from the patients who had participated diabetes education and the patients in hospital who hadn\'t participated diabetic education.The results suggest that the treatment compliance of patients is improved as the number of times that these patients participated diabetes education was increased.The treatment compliance of the patients in hospital is improved just in a short-term period,who hadn\'t participated diabetes education.

研究结果1、住院糖尿病患者与参加健康教育的糖尿病患者在性别、年龄、婚姻、职业、文化程度、医疗用度承担形式上均无统计学差异，说明两组人群来自同一整体。2、根据内容效度和重测信度的结果证实允从性问卷具有良好的信度和效度；根据内部一致性检验、集合效度、区分效度和结构效度的结果证实SF-36量表具有良好的信度和效度。3、对参与健康教育的糖尿病患者进行的允从性跟踪调查结果进行自身配对前后比较，并与未参加健康教育的住院糖尿病患者的允从性得分进行比较，发现糖尿病患者治疗允从性随着参加健康教育次数的增多而进步；未参加教育的住院患者治疗允从性在进院和刚出院的短期内有一定进步，但随后逐渐下降至进院前水平。

Policy recommendations: 1 Improve relevant policies, laws and regulations, including: the responsibility of governments at all levels, funds raise and management, program for Coordinating, the responsibility of public hospital. 2 Establish sustained and stable funding and management mechanism, emphasis fund-raising responsibilities of government at all levels, strengthen government and social organizations, set up special accounts of MAP, study the scientific and reasonable mechanism for distribution of funds. 3 Optimize Program for Coordinating MAP and NCMS, including: Free out-patient services, abolition of pay lines of out-patient and hospitalization, out-patient help including village health clinic and chronic disease; hospital help by disease, sub-object and pro-rata; increase sorts of serious disease, set reasonable pay line, cap line, and proportion in MAP; regular or occasional payment of a fixed payment or MAP cards, improve MAP coverage and benefit rates.4 Establish a new type of management for Coordinating MAP and NCMS.

政策建议：1完善相关政策法规，包括：各级政府的责任、医疗救助资金的筹集和管理、医疗救助与新农合衔接方案、管理与服务制度、公立医疗机构在医疗救助领域的职责等。2建立持续稳定的资金筹集和管理机制，强调各级政府在医疗救助资金的筹资责任，加强政府与社会组织的合作，建立医疗救助基金，研究科学合理的资金分配和管理机制。3优化新农合与医疗救助衔接方案，包括：开展免费门诊服务项目，取消门诊和住院起付线，将村卫生室纳入门诊报销范围，增加慢性病的门诊救助；按病种、分对象、按比例地给予住院救助，增加大病救助的病种，合理设定住院救助的起付线、封顶线、救助比例；定期或不定期发放定额的救助金，发放医疗救助优惠卡，提高医疗救助的覆盖面和受益率等。4建立新型的医疗救助与新农合衔接管理模式。

In the process of colorectal cancer resections, gasless hand-assisted laparoscopic surgery had obvious difference with carbon dioxide pneumoperitoneum laparoscopic surgery and operation on operation time, expense in hospital, number of days, pathologic type, extension of radical cure, and analysis of the blood lymphocytes, immune function of erythrocyte because gasless assisted laparoscopic surgery had litter disturb, litter wound, in litter pain, fast function recover, litter complications and hospital stay days.

在结直肠癌手术中，非气腹手助腹腔镜手术、CO_2气腹腹腔镜手术和开腹手术比较，其在手术时间、住院费用、住院天数、病理分型、根治范围等方面有明显差异，非气腹手助腹腔镜手术对机体干扰少，创伤少、术后疼痛轻、功能恢复快、术后并发症少、住院时间短。

We analyzed the regular pattern of daily medicine cost change of operation inpatients during hospitalization in every group . the results indicated that the median line of daily medicine cost had similar regular pattern in operations on the nervous system , the musculoskeletal system , the nose , mouth , and pharynx system and the female genital organs system : the top of daily medicine cost median emerged on the day of operations ; the median of daily medicine cost was low in the period after operation , and the lowest in the period before operation . the median line of daily medicine cost of operations on the digestive system and the integumentary system keeped at a high level in the period of 1 - 6 days after operations

手术病人日药费随住院时间的变化规律按icd - 9 - cm类目表的15个系统大类将住院手术病人分为15组，分析了各系统手术病人住院期间日药品费用的变化规律，结果显示：神经系统、肌肉骨骼系统、鼻口咽系统和女性生殖系统手术的日药费中位数线图具有相似的变化规律：手术病人住院期间的日药费硕士学位论文中位数的峰值位于手术当日，且手术当日的日药费变异最大；术后住院日的日药费中位数明显降低；术前住院日的日药费中位数很低；消化系统和体被系统手术在手术当日及术后1 6天内的日药费中位数维持在较高的水平。

PD, which involves resecting the pancreas and duodenum, is possible in only 10% of pancreatic cancer patients. \

这1，802位病患中，19%在30天内，57%在1年内，以及74%在4年内再度住院；46%再度住院是到原先手术医院以外的医院—资料库中不一定可以追踪到的事情，平均再度住院次数是2次；整体而言，PD之后有77.5%再度住院；22.5%不曾再度住院。

Objective To compare MNA with MNA-SF in assessment of nutrition status of the elderly patients of chronic heart disease, and to comfirm the correlation of MNA and MNA-SF with classical nutritional assessment methods.

心血管疾病在住院老年病人中所占比例非常高，由于传统营养评价方法的局限性，此类病人发生营养不良往往得不到及时的发现和纠正。

An independent sample t-test and a one way ANOVA test were used to compare the differences between an ICU stay 1 year before and 1 year after intensivist staffing in July 2003. A Chi-square test was used to analyze the association of mortality.

使用独立样本t-检定及单因子变异数分析来比较实施专责重症医师照护前后在住院天数是否有所不同；利用卡方检定来检查和死亡率有关的因素。

The promotion of baby-friendly medical care hospitals in Taiwan since 1999 has resulted in an increased breastfeeding initiation rate for newborns. After maternity leave, however, employed mothers have found it difficult to continue breastfeeding their babies.

自1999年推广母婴亲善医疗院所后，产妇在住院期间的母乳哺育率已提升；然而产假结束后，对许多职业妇女而言上班后持续哺乳似乎成了不可能的任务。

Results: Proton pump inhibitors took up the highest proportion of use frequency and money spent on antiulcer drugs in hospitalised patients.

结果：质子泵抑制剂的用药频数和用药金额在住院患者抗消化性溃疡药物应用中居首位。

With Death guitarist Schuldiner adopting vocal duties, the band made a major impact on the scene.

随着死亡的吉他手Schuldiner接受主唱的职务，乐队在现实中树立了重要的影响。

But he could still end up breakfasting on Swiss-government issue muesli because all six are accused of nicking around 45 million pounds they should have paid to FIFA.

不过他最后仍有可能沦为瑞士政府&议事餐桌&上的一道早餐，因为这所有六个人都被指控把本应支付给国际足联的大约4500万英镑骗了个精光。