西北某县7种癌症住院费用影响因素分析

Analysis of Hospitalization Expenses about 7 Cancers in a West Northern County in 2014

目的分析西北某县癌症患者住院费用的影响因素,为卫生部门合理优化配置医疗资源、提高基层医院癌症诊治率提供理论依据。方法利用西北某县医院肿瘤登记报告数据,收集2014年西北某县常见的7种癌症患者病案数据。使用R 3.3.1统计软件对影响平均住院费用的影响因素进行t检验和logistic回归分析。结果西北某县2014年常见的7种癌症分别为胃癌、肺癌、肝癌、食管癌、宫颈癌、乳腺癌和结直肠癌,7种癌症的平均住院费用分别为28 270、29 630、28 990、43 950、48 810、45 620、41 340元;7种癌症平均住院费用的主要影响因素有住院时间、患者年龄、患者就医地点等。结论加快完善基层医院的癌症防治工作体系,让癌症患者在基层医院得到有效的救治,可减轻个人及社会经济负担。

Objective To analyze the influencing factors of hospitalization costs for cancer patients in a county in Northwestern China,and to provide a theoretical basis for the health department to optimize the allocation of medical resources and improve the diagnosis and treatment of cancer in primary hospitals. Methods Using the data of the tumor registration report of a county hospital in northwestern China,the data of 7 common cancer patients in a county in northwestern China in2014 were collected. Use the R3. 3. 1 statistical software to perform t-tests and logistic regression analysis on the factors that influence the average hospitalization costs. Results The 7 common cancers in a county in northwestern China in 2014 were gastric cancer,lung cancer,liver cancer,esophageal cancer,cervical cancer,breast cancer,and colorectal cancer. The average hospitalization costs for the 7 cancers were 28 270 yuan,29 630 yuan,and 28 990 respectively. Yuan,43 950 yuan,48 810 yuan,45 620 yuan,41 340 yuan; The main influencing factors for the average cost of hospitalization for the 7 types of cancer were： hospitalization day,patient age,and location of the patient for medical treatment. Conclusion Accelerating the improvement of the cancer prevention and control system in primary hospitals so that cancer patients can be effectively treated in primary hospitals to reduce personal and socioeconomic burdens.