肿瘤专科医院单病种成本影响因素的研究

Influencing Factors of Single Disease Cost in Cancer Hospital

[目的]分析单病种成本影响因素并采取有效方式控制医院成本,减少医疗资源耗费,提高医院经济效益,减轻患者经济负担,为物价部门按病种定价提供合理依据。[方法]收集肿瘤专科医院2014~2017年5578例肺部恶性肿瘤住院患者资料,对患者的性别、年龄、支付方式、治疗方式、是否合并症、住院天数等进行单因素分析,筛选出相关的影响因素,再进行多元线性回归分析。[结果]通过单因素和多元线性回归分析,最终筛选出的影响因素为住院天数、治疗方式、出院情况、入院年份、是否首次入院、支付方式、籍贯和是否有并发症,并得到单病种成本的影响因素和单病种成本测算方程。[结论]以单病种成本的影响因素为切入点,在保证患者疗效的情况下,对单病种成本影响因素采取相应的措施和有效方法,降低患者住院成本;医院还可通过单病种成本回归方程预测入院患者即将消耗的成本。

[Purpose]To analyze the influencing factors of single disease cost.[Methods]Data of5578 patients with lung malignant tumors admitted in a cancer hospital from 2014 to 2017 were collected.The factors influencing the hospital cost including gender,age,payment method,treatment method,complications,hospitalization days were analyzed by univariate and multivariate regression with SPSS19.0 software.[Results]Univariate and multivariate regression analyses showed that hospitalization days,treatment method,discharge status,years of hospitalization,first admission or readmission,payment method,native place,complications were Influencing factors of single disease cost,and an equation for estimating the cost of a single disease was obtained.[Conclusion]The countermeasures targeting the influencing factors of single disease cost can reduce the hospitalization cost for patients and a single disease cost regression equation can predict the upcoming cost of hospitalized patients.