摘要
目的分析山东省德州市某三级医院肺癌患者住院费用状况及影响因素,为减轻肺癌患者疾病经济负担提供参考依据。方法从该院信息系统中抽取2015—2020年肺癌住院患者病案数据,使用描述性分析、多重线性回归等方法分析住院费用的变化趋势及其影响因素。结果2015—2020年该医院肺癌住院患者人均住院费用从10237元增长到16651元。多重线性回归分析显示,住院天数、支付方式、是否手术和药占比是住院费用的影响因素(P<0.05)。结论肺癌患者经济负担依旧沉重,建议采取控制药占比、缩短住院时间、完善分级诊疗制度等综合措施控制医疗费用。
Objective To analyze the hospitalization expenses of lung cancer patients in a tertiary hospital of Dezhou City,Shandong Province and its influencing factors,so as to provide reference for reducing the financial burden on lung cancer patients.Methods Data of inpatients with lung cancer from 2015 to 2020 were extracted from the hospital information system.Descriptive analysis,multiple linear regression and other statistical methods were used to analyze the trend of inpatient expenses and its influencing factors.Results From 2015 to 2020,the average hospitalization expenses of lung cancer inpatients increased from 10237 yuan to 16651 yuan.Multiple linear regression analysis results showed that the length of stay,payment pattern,surgery or not and drug proportion were the influencing factors for hospitalization expenses(P<0.05).Conclusions The financial burden on lung cancer patients is still heavy.It is suggested that comprehensive measures such as controlling the proportion of drugs,shortening the length of hospital stay and improving the hierarchical medical system should be taken to control medical expenses.
作者
韦苏晴
孔凡磊
王若薇
单莹
王清楠
秦艺文
李士雪
WEI Suqing;KONG Fanlei;WANG Ruowei;SHAN Ying;WANG Qingnan;QIN Yiwen;LI Shixue(Health Management and Policy Research Center,School of Public Health,Qilu Medical College,Shandong University,Jinan,Shandong 250012,China;Key Laboratory of Health Economy and Policy Research,National Health Commission(Shandong University),Jinan,Shandong 250012,China;School of Basic Medicine,Shandong First Medical University,Tai’an,Shandong 271000,China;Department of Epidemiology,School of Public Health,Qilu Medical College&Shandong University Suicide Prevention Research Center,Shandong University,Jinan,Shandong 250012,China)
出处
《中国农村卫生事业管理》
2021年第9期658-662,共5页
Chinese Rural Health Service Administration
基金
国家自然科学基金项目(71804094)
中国博士后科学基金资助项目(2016M592161)。
关键词
肺癌患者
住院费用
影响因素
疾病经济负担
费用控制
老年人
Patients with lung cancer
Hospitalization expenses
Influencing factor
Financial burden of disease
Cost control
The elderly