北京市宫颈癌患者住院费用及其影响因素分析

Analysis of the hospitalization expenditure of cervical cancer patients and influencing factors

目的分析2006年至2010年北京市城镇职工宫颈癌患者住院费用的变化情况及其影响因素，为制定合理的医疗费用控制措施提供依据。方法利用1146例宫颈癌患者的住院费用资料，通过描述性分析和多元逐步线性回归分析等方法探讨患者的住院年龄和住院费用情况，以及住院费用的影响因素。结果5年间，宫颈癌患者的初次住院年龄无明显变化，住院年龄有所上升，次均住院费用随年龄分组逐渐上升，次均住院费用、次均药品费用和次均药品费比例随年份均呈上升趋势。多元逐步线性回归结果表明，住院天数、自付比例、药品费比例和是否手术是影响住院费用的重要因素。结论宫颈癌的住院费用仍在不断增长，合理缩短住院天数、确定适宜的自付比例、降低药品费比例是降低住院费用的有效途径。

Objective To analyze the variations and influencing factors of hospitalization expenditure of cervical cancer patients among urban employees in Beijing from 2006 to 2010, and to provide evidences for developing reasonable measures of medical expenses control. Methods Based on the hospitalization expenditure data of 1146 cervical cancer cases, the paper probed into the changes of hospitalization age and hospitalization expenditure, and the influencing factors of hospitalization expenditure by means of descriptive analysis and multiple stepwise regression. Results The last 5 years witnessed no significant change in the first hospitalization age of cervical cancer patients, rise of hospitalization age, gradual rise of the hospitalization expenditure per time along with their age groups, as well as a rising trend of the average hospitalization expenses, average drug cost and proportion of average drug cost year by year. Results of the multiple stepwise linear regression showed that days of stay, proportion of drug cost and surgery or not as important influencing factors for hospitalization expenditure. Conclusion Hospitalization expenditure of cervical cancer keeps growing. Against this background,reasonable shortening of the days of stay, reasonable setup of an appropriate proportion of out-of-pocket payment,and reduction of the proportion of drug costs become effective means to reduce hospitalization expenditure.