安徽省某三甲医院肺癌患者住院费用及其影响因素分析

Analysis of hospitalization expenses and influencing factors of lung cancer patients in grade-A tertiary hospitals

目的分析安徽省某三甲医院肺癌患者住院费用情况,找出影响肺癌患者住院费用的主要因素。方法研究2012—2016年期间安徽省某三甲医院出院诊断为肺癌的住院患者相关信息,纳入统计共1044份,采用SPSS19.0统计分析软件对肺癌患者的一般特征资料以及对影响肺癌患者住院费用的因素进行分析。结果肺癌患者人均住院费用总计为11065.13元,住院天数区间1~117天,平均住院天数是11.6天。均住院天数总体呈上升趋势,对肺癌患者住院费用有显著性影响的因素包括性别、医保方式、年龄、住院天数、是否手术、是否放疗,其中肺癌患者主要集中在50岁以上,男性患者居多。结论建议从降低住院天数、加强医院管理、提高医疗保险比例等几个方面入手降低住院费用。建议实施“三级预防”,尤其是针对高危人群,应督促其定期进行体检,另外可以通过合理有效的转诊制度,将患者的术前等待期和术后恢复期下放到基层医院进行。其次减少环境污染,降低肺癌的发病率,从而降低肺癌患者的经济负担。

Objective:To analyze the inpatient cost of lung cancer patients in a grade-A hospital in Anhui province and find out the main factors affecting the inpatient cost of lung cancer patients.Methods:A total of 1 044 inpatients diagnosed with lung cancer after discharge from grade-A tertiary hospitals in Anhui province from 2012 to 2016 were included in this study. SPSS19.0 statistical analysis software was used to analyze the general characteristics of patients with lung cancer and the factors affecting the hospitalization cost of patients with lung cancer.Results: The average hospitalization cost of lung cancer patients was 11 065.13 yuan, and the length of hospitalization ranged from 1 to 117 days. The average length of hospitalization was 11.6 days.The average number of days in hospital was on the rise, and the factors that had a significant impact on the hospitalization cost of lung cancer patients included gender, mode of medical insurance, age, length of stay, whether to have surgery or not, and whether to have radiotherapy. Lung cancer patients were mainly over 50 years old, and most of them were male.Conclusion:It is suggested to reduce hospitalization cost by reducing hospitalization days, strengthening hospital management and increasing the proportion of medical insurance.It is suggested to implement "tertiary prevention", especially for high-risk groups, and urge them to have regular physical examination. In addition, the preoperative waiting period and postoperative convalescence period of patients can be transferred to primary hospitals through a reasonable and effective referral system.Secondly, through reducing environmental pollution, and lowering the incidence of lung cancer, the economic burden of lung cancer patients can be decreased.