目的探讨肺炎患儿住院费用的影响因素。方法用非参数秩和比检验方法检验各因素的差异,采用多元逐步回归模型分析儿童肺炎住院费用的影响因素。结果儿童肺炎的住院费用医保患者高于自费患者,不同付费方式患儿最大开支项目均为药品费用,且年龄大费用增加,住院天数越长费用越高。其影响因素药费、住院天数、出院情况、医院感染、年龄、入院情况、付费方式引入方程。结论肺炎患儿费用受多因素影响,其控制药品费用比例、缩短住院日是降低总住院费用的有效手段,也是减轻患者和国家经济负担的有效途径。 Objective To investigate the influencing factors of hospitalization costs in children with pneumonia. Methods The nonparametric rank sum ratio test was used to test the differences of various factors. The multivariate stepwise regression model was used to analyze the influencing factors of children pneumonia hospitalization costs. Results Child pneumonia hospitalization costs Medicare patients are higher than those who pay their own expenses, the maximum expenditure items of children with different payment methods are drug costs, and the increase in the cost of older, the longer the length of hospitalization the higher the cost. The factors affecting the cost of drugs, hospital days, discharge, hospital infection, age, admission, payment methods into the equation. Conclusion The cost of children with pneumonia is affected by many factors. The proportion of controlling the cost of medicines and shortening the hospitalization days are effective measures to reduce the total cost of hospitalization. It is also an effective way to reduce the economic burden on patients and the state.