摘要
[目的]分析肺癌患者住院费用的特点,探索影响肺癌患者住院费用的主要因素。[方法]抽取某肿瘤专科医院2005～2011年期间全部肺癌患者HIS系统资料。[结果]2005～2011年间肺癌患者住院天数逐年下降,但日均住院费用逐年增长,累计增长73.6%;人次均住院费用为20 172.13元,其中药费13 067.41元,占64.78%。多元逐步回归分析显示药品比例、是否手术、出院年份、职业、病人来源和支付方式等因素对住院费用有较大影响。[结论]肺癌患者直接经济负担沉重,应加强改革,建立住院医药费用合理形成和调控的长效机制。
[Purpose] To investigate the characteristics of hospitalization expenses and to explore ist main influencing factors of in-patients with lung cancer. [Methods] All discharges with lung cancer from 2005 to 2011 in a tertiary cancer hospital were extracted from hospital information system（HIS）,and the information of their hospitalization expenses was analyzed. [Results ] The hospital stay time of in-patients with lung cancer reduced yearly from 2005 to 2011,but the daily medical cost increased year by year with the cumulative increase rate of 73.6%. The average person-time medical cost was 20172.13 yuan,of which drugs was 13067.41 yuan,accounting for64.78%. The multiple regression analysis showed that the main factors related to hospitalization expenses of in-patients with lung cancer included the proportion of drugs,operation or not,time（year） of discharged,the occupation,the area of origin and the medical cost payment. [Conclusion]The burden of direct economic expenses of in-patients with lung cancer was heavy. Health care reform was needed to establish a long-term mechanism for the formation and control of hospitalization charges.
出处
《中国肿瘤》
CAS
2015年第11期915-918,共4页
China Cancer
基金
江苏卫生国际交流支撑项目(JSH201109)
关键词
肺癌
住院病人
医药费用
影响因素
lung cancer
in-patient
medical expenses
influencing factors
