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An applying research on HLM in the influential factors analysis of hospitalization expenses

Abstract

住院费用影响因素的研究一直是医疗保险精算领域风险控制研究的主要内容。目前,用于住院费用影响因素分析的方法主要是传统的统计分析方法。然而,住院费用的产生往往不仅由病人层次的因素影响,同时也受到医院级别及地区因素的影响,需要分析具有层次结构的数据。而具有层次结构的资料不适宜用传统的统计方法,宜采用分层线性模型。 本文应用分层线性模型,参考已有文献资料,利用福建省莆田市荔城区某镇新型农村合作医疗保险所补偿的住院费用的半年记录,探讨了影响住院费用的个人层次因素与医院层次因素,并最终建立了住院费用对数值与肿瘤情况、住院天数、药品费对数值及医院级别的分层线性模型。本研究的结果表明:影响住院费用的个人层次...The study on factors affecting hospitalization expenses has always been the main contents of risk control study on medical actuarial field.Currently,the main analysis methods for hospitalization expenses are the traditional statistical analysis.However, the production of hospitalization expenses is influenced not only by the factors of patient-level, but also by the hospital-level and regional fac...学位:理学硕士院系专业:数学科学学院数学与应用数学系_概率论与数理统计学号:1902007115209

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