北京地区2015—2019年急性白血病患者住院费用分析

Analysis of hospitalization costs of acute leukemia patients in Beijing from 2015 to 2019

目的分析北京地区急性白血病患者住院费用和费用结构变化趋势,为制订相关政策提供数据支撑。方法采用2015—2019年北京地区77所二级和三级医院住院病案首页数据对急性白血病住院费用、费用结构进行描述性、差异性和趋势分析。结果2015—2019年北京地区急性白血病住院次均费用呈增长趋势(P<0.05),药耗费用占比则明显下降(P<0.05)。不同年龄组住院次均费用比较,差异有统计学意义(P<0.05)。急性白血病患者住院主要治疗方式为化疗,且不同年龄化疗患者的住院次均费用、次均药品费用比较,差异有统计学意义(P<0.05)。结论北京地区急性白血病患者住院费用负担仍然较重,药品、耗材费用对住院负担贡献度高但呈下降趋势。需关注儿童、老年等重点人群的住院费用负担,结合儿童白血病特点对其付费标准进行单独测算。

Objective To analyze the trend of hospitalization expenses and its expense structure in acute leukemia inpatients,and to provide the data-based evidence for policy-making.Methods Descriptive,variance,and trend analyses of acute leukemia inpatient costs,cost structure were performed using inpatient case home data from 77 secondary and tertiary hospitals in Beijing from 2015 to 2019.Results The average cost of acute leukemia hospitalization in Beijing showed an increasing trend from 2015 to 2019(P<0.05),the differences were statistically significant when comparing the average hospitalization subcosts among different age groups(P<0.05).The main treatment modality of hospitalization for patients with acute leukemia was chemotherapy,and there was a statistically significant difference in the average cost of hospitalization and the average cost of drugs among patients with chemotherapy at different ages(P<0.05).Conclusion The burden of hospitalization costs for acute leukemia patients in Beijing is still relatively high,and the cost of drugs and consumables contributes highly to the hospitalization burden but is on a decreasing trend.It is necessary to pay attention to the hospitalization cost burden of key populations such as children and the elderly,and to make separate calculations of their payment rates in combination with the characteristics of childhood leukemia.