摘要
目的了解老年癌症患者住院费用构成及影响因素,为控制医疗费用上涨提出建议。方法收集2007-2011年4种常见老年癌症病例1101例,采用描述性分析、单因素分析和多元线性回归分析等方法分析老年癌症患者的住院费用及其影响因素。结果老年癌症患者住院费用逐年上升,影响住院费用的主要因素是住院天数、特级护理、输血情况、抢救情况、手术情况、患者来源、癌症种类、付费方式。结论实施临床路径管理,优化医院内部流程,缩短平均住院日;完善医疗保障制度,实行按病种限价付费,降低医疗费用。
Objective To investigate the composition and influential factors of hospitalization costs of old aged cancer patients in order to give suggestions on controlling medical costs. Methods 1101 medical records of old aged cancer patients were collected from our hospital from 2007 to 2011, analyzing the changing trends of hospitalization cost and influencial factors with descriptive analysis, single-factor test and multiple linear regressions. Results There shows an annual increase on hospitalization cost in treating old aged cancer patients. Many factors, such as length of stay, special nursing care, blood transfusion, surgical situation, source of patients, types of cancer, payment methods all can play important roles in affecting hospitalization costs. Conclusion It was suggested to short- en average hospitalization days through implementing clinical pathway management and optimizing hospital internal workflow. To re- duce medical costs we should improve healthcare insurance system and develop efficient payment mechanism, such as limited price payment according to the disease categories.
出处
《中国病案》
2013年第2期63-64,共2页
Chinese Medical Record
关键词
老年癌症患者
住院费用
影响因素
Old age cancer patients
Hospitalization cost
Influential factor
