摘要
目的分析四川省4种恶性肿瘤住院费用及其结构变动情况,为管控医疗费用提供参考。方法采用灰色关联分析法和结构变动法综合分析2015年1月1日-2020年12月31日四川省4种恶性肿瘤住院费用内部影响因素及结构变动趋势。结果2015-2020年四川省4种恶性肿瘤次均住院费用呈上升趋势,其中肺恶性肿瘤增幅最大。4种恶性肿瘤的各分项费用中关联度最大的均为药品费。除肺恶性肿瘤VSV最大的是耗材费(20.51%),另外3个VSV最大的均为药品费;住院费用DSV从大到小依次为肺恶性肿瘤(53.28%)、胃恶性肿瘤(29.37%)、食管恶性肿瘤(26.48%)、膀胱恶性肿瘤(23.26%)。肺恶性肿瘤结构变动贡献率最大的是耗材费(38.27%),其次是药品费(37.69%);胃恶性肿瘤、食管恶性肿瘤、膀胱恶性肿瘤结构变动贡献率最大的均为药品费分别为43.40%、38.43%和42.31%。结论四川省4种恶性肿瘤的次均费用呈上升趋势,增幅相对合理,肺恶性肿瘤患者的经济负担最为严重;控药费提价值的政策初见成效,但费用结构仍需优化;同时耗材费持续上升,应继续深化耗材零加成改革,加强耗材精细化管理。
Objectives This study aims to analyze the hospitalization expenses and structural changes of four types of malignant tumors in Sichuan Province to provide a reference for controlling medical expenses.Methods The gray correlation analysis method and the structural change method were used to comprehensively analyze the internal influencing factors and structural change trends of hospitalization expenses for four types of malignant tumors in Sichuan Province from January 1,2015 to December 31,2020.Results The average hospitalization costs for four types of malignant tumors in Sichuan Province showed an upward trend from 2015 to 2020,with lung malignant tumors showing the largest increase.Among the sub-expenses of the four malignant tumors,the most closely related ones were drug expenses.Except for lung malignant tumors,the largest VSV was the cost of consumables(20.51%),and the other three largest VSVs were all drug costs.The DSV of hospitalization costs from largest to smallest were lung malignant tumors(53.28%),gastric malignant tumors(29.37%),esophageal malignant tumors(26.48%),and bladder malignant tumors(23.26%).The largest contribution to structural changes in lung malignant tumors was the cost of consumables(38.27%),followed by the cost of drugs(37.69%).Gastric malignant tumors,esophageal malignant tumors,and bladder malignant tumors all contributed the most to the structural changes of drug fees,which were 43.40%,38.43%,and 42.31%respectively.Conclusions The average per-time cost of four types of malignant tumors in Sichuan Province is on the rise,and the increase is relatively reasonable.Patients with lung malignant tumors have the most severe financial burden.The policy of controlling drug fees and increasing value has achieved initial results,but the fee structure still needs to be optimized.At the same time,the cost of consumables continues to rise.Hospitals should continue to deepen the reform of zero markup on consumables and strengthen the refined management of consumables.
作者
谢冬玲
孟晓微
王怡鑫
Xie Dongling;Meng Xiaowei;Wang Yixin(Sichuan Clinical Research Center for Cancer,Sichuan Cancer Hospital&Institute,Sichuan Cancer Center,Affiliated Cancer Hospital of University of Electronic Science and Technology of China,Chengdu 610041,Sichuan Province,China;不详)
出处
《中国病案》
2024年第3期75-79,共5页
Chinese Medical Record
关键词
恶性肿瘤
住院费用
灰色关联分析
结构变动分析
Malignant tumor
Hospitalization Cost
Grey Correlation Analysis
Structural Variation Analysis
