从卫生经济学角度浅谈胃癌手术后并发症的影响及干预

Impact and intervention of postoperative complications after gastric cancer surgery from a health economics perspective

胃癌是我国第三大常见的恶性肿瘤,给我国带来了巨大的卫生经济负担。胃癌术后并发症的出现不仅会影响患者的康复,还会显著增加患者的医疗费用,给社会和医院带来额外的卫生经济负担。对胃癌术后并发症进行卫生经济学分析,可以为卫生政策的制定提供依据,为医院成本控制提供指导,并为预防和治疗并发症的新技术发展提供经济学参考。本文通过检索国内外文献,综合分析了术后并发症的严重程度对医疗费用的影响、术后发生并发症患者医疗费用的主要来源,并提出了可行的措施,以减少术后并发症所带来的卫生经济学负担。此外,本文还讨论分析了疾病诊断相关分组(DRG)计费模式下术后并发症带来的卫生经济学问题。

Gastric cancer ranks as the third most prevalent malignant tumor in our nation,imposing a substantial health and economic burden.The occurrence of postoperative complications in gastric cancer not only hinders patient recovery but also significantly increases the medical expenditures of patients,contributing supplementary health economic challenges to both society and healthcare institutions.Conducting health economic analysis on postoperative complications in gastric cancer provides evidence for the formulation of health policies,offers guidance for hospital cost control,and furnishes economic insights for the development of new technologies in the prevention and treatment of complications.This paper,through a thorough review of domestic and international literature,comprehensively examines the impact of complication severity on healthcare expenses,delineates the principal contributors to healthcare costs in patients with postoperative complications,and proposes practical strategies to alleviate the health economic burden resulting from such complications.Furthermore,this study delves into and analyzes the health economic considerations associated with postoperative complications within the framework of the Diagnosis Related Groups(DRG)billing model.