胃癌患者住院费用及影响因素的通径分析

Hospitalization Costs of Gastric Cancer Patients and Its Influence Factors

[目的]探讨影响胃癌患者住院费用的关键因素,为降低胃癌患者的疾病经济负担、抑制医疗费用的过快上涨提供参考依据。[方法]从某三级医院HIS系统收集5030例主要诊断为胃癌的出院患者的医疗费用明细,描述性分析胃癌患者的社会学基本情况,利用多元线性回归模型及通径分析方法探讨影响胃癌住院费用的关键因素。[结果]5030例胃癌患者人均住院费用18844.10元,中位数为12368.42元;人均住院天数15.99天,中位数为13.00天。住院天数是住院费用最主要的影响因素,其他因素包括性别、年龄、付费方式、药占比、入院情况、疾病类型、是否手术和出院时间,并且通过住院天数间接影响住院费用。[结论]住院天数是影响胃癌患者医疗费用的关键因素,在控制胃癌患者医疗费用时,应缩短患者住院天数,并且加强性别、年龄、婚姻状况等不可控因素向可控因素转化以达到抑制其费用的过快上涨。

[Purpose] To analyze the factors affecting the hospitalization costs of gastric cancer patients. [Methods] The medical expenses of 5030 patients diagnosed as gastric cancer were collected from the HIS system of a tertiary hospital. The factors affecting hospitalization expenses of gastric cancer was analyzed by multivariate linear regression model and path analysis method. [Results]The average hospitalization cost of gastric tumor patients was 18844.10 yuan,with a median of12368.42 yuan;the average length of hospital stay was 15.99 days,with a median of 13.00 days.The number of hospital stays was the most important influencing factor for hospitalization expenses.Other factors were gender,age,payment method,drug proportion,hospitalization status,type of disease,surgery and hospital discharge time,and hospitalization costs were indirectly affected by these factors through hospitalization days. [Conclusion] The length of hospital stay is a key factor affecting the medical expenses of gastric cancer patients,and the uncontrollable factors are gender,age,and marital status.