辽宁省某三甲医院下咽恶性肿瘤手术患者住院费用及其影响因素分析

Analysis on the Hospitalization Expenses and Influencing Factors of Operation Patients with Hypopharynx Malignant Tumor in a Three A and Tertiary Hospital in Liaoning Province

目的分析下咽恶性肿瘤患者住院费用及影响因素,为合理控制住院费用以减轻下咽恶性肿瘤患者的经济负担提供科学依据。方法运用SPSS19.0软件和Excel对辽宁省某三甲医院2013年-2016年247例下咽恶性肿瘤手术患者的数据进行回顾性分析。结果费用构成中药品费在总费用中占比最高,平均达51.38%,其次为治疗费平均占比18.30%。逐步多元线性回归分析显示实际住院天数、出院时间(年份)、药费占比、术前住院日、解剖部位分型是住院费用的影响因素。结论通过减少实际住院天数和术前住院日,降低药费占比,以降低下咽恶性肿瘤手术患者的住院费用。

Objectives To analyze the constitution and influencing factors of hospitalization expenses in patients with hypopharynx malignant tumor, and provide scientific references for the reasonable control of the hospitalization expenses in order to reduce the economic burden of the patients. Methods To conduct a retrospective analysis on 247 hypopharynx malignant tumor cases with SPSS19.0 software and EXCEL table. Results Drug costs accounted for the highest proportion of the total expenses, up to 51.38%, followed by treatment costs accounted for an average of 18.30%. Stepwise multiple linear regression analysis showed that hospitalization stay, hospital discharge time （year）, the proportion of drugs, stay before operation, type of anatomic site were the influencing factors of hospitalization expenses. Conclusions We should shorten the actual hospitalization stay and preoperative days, as well as decrease the proportion of drug costs, so as to control the hospitalization expenses of operation patients with hypopharynx malignant tumor.