甲状腺癌患者住院费用影响因素分析

Analysis of the Influencing Factors of Hospitalization Expense of Patients with Thyroid Carcinoma in a Hospital

目的 :分析某院甲状腺癌患者住院费用情况及影响因素并进行疾病分组探索,为医院加强费用控制与临床诊疗服务管理提供依据。结果 :五年间收治量逐年上升,男女比为1∶2.36,大部分患者住院8天以内、非手术治疗、花费15000-20000元等;实行后付制支付方式的医保范围内的医疗费用高于预付制方式下的医疗费用,手术治疗费用高于非手术治疗,住院天数越长或年龄越大费用越高;住院天数、收治科室、治疗方式为住院费用的主要影响因素,病例分组中住院天数超过8天的费用高于其他情形。建议:推行临床路径管理,规范合理诊疗,降低医疗成本;加快按病种付费改革,细化支付标准,从控制费用转换到为患者购买成本效益好的医疗服务。

To analyze the hospitalization cost and influencing factors of thyroid cancer patients in a hospital,and to explore the disease grouping, and to provide the basis for strengthening the cost control and clinical management service. The ratio of male to female was 1：2.36,the majority of patients were hospitalized within 8 days,surgical treatment costs higher than non-surgical treatment, the longer the hospital stay the cost of patients is relatively high;hospital days,admitted departments,the treatment of hospitalization costs as the main factors,the cost of hospitalization in the case group is more than 8 days higher than in other cases.After that,The clinical path management should be carried out,the medical cost should be reduced,the service eficiency should be improved;the reform of the payment method should be accelerated, the standard of the fee and the cost control should be refined.