中国医学科学院肿瘤医院5222例肺癌手术患者住院费用影响因素分析

Influencing Factors of Hospitalization Expenses of Surgical Lung Cancer Patients:An Analysis of 5222 Cases

[目的]分析肺癌手术患者的住院费用及其影响因素,为控制肺癌手术患者住院费用及直接经济负担。优化肿瘤医院的医疗费用结构提供数据支撑。[方法]对中国医学科学院肿瘤医院肺癌手术患者进行研究指标的描述性统计分析.单因索统计描述分析、逐步回归多因素分析。[结果]本研究共纳入分析中国医学科学院肿瘤医院肺癌手术患者5222例,平均住院费用7.04万元,主要以材料费和药费为主。影响住院费用的因素包括:性别年龄医疗付费方式、病理类型、发生并发症情况。手术术式、手术方式、住院天数等。[结论]应提高肺癌的早期防治水平,提高医务人员技术劳动价值和服务价格,加强医用耗材的监管,合理控制医疗费用。

[Purpose]To analyze the hospitalization expenses and influencing factors in surgical patients with lung cancer.[Methods]The descriptive statistical analysis,univariate analysis and multivariate stepwise regression analysis on hospitalization expenses and influencing factors were conducted among the surgical patients with lung cancer treated in Cancer Hospital,Chinese A-cademy of Medical Sciences.[Results]A total of 5222 effective cases in Cancer Hospital,Chinese Academy of Medical Sciences were ineluded for analysis.The average hospitalization expenses were RMB 70400,which mainly included the costs of medical materials and medicine.The influ-encing factors of hospitalization expenses ineluded gender,age,medical payment methods,patho-logical types.occurrence of complications.types of operation,methods of operation.length of stay,elc.[Conclusion]Efforts should be made to increase the value and service price of technical labor of medical staff,as well as to strengthen the supervision of medical consumables,so as to control medical expenses reasonably.