肺癌手术患者住院费用的灰色关联及结构变动度分析

Grey Correlation and Structural Variation Analysis of Hospitalization Costs of Patients Undergoing Lung Cancer Surgery

目的:分析某三甲肿瘤专科医院肺癌手术患者住院总费用影响因素及其结构变动趋势,为有效控制住院费用,降低肺癌患者经济负担提供参考意见。方法:收集2014~2018年某三甲肿瘤专科医院入院治疗的7136例肺癌手术患者的住院费用资料,运用灰色关联和结构变动度两种方法进行分析。结果:① 肺癌手术患者住院总费用呈先涨后降趋势;② 药品费的关联系数较大、关联度为0.9853、关联序排位第一;③ 肺癌手术患者住院费用总结构变动度为60.4%,药品费的结构变动贡献率最大。结论:药品及诊断费仍是影响住院费用的主要项目;应合理控制住院总费用,加大对医疗市场的监管力度、继续深化医疗服务价格改革。

Objective: To analyze the influencing factors and structural trends of the total hospitalization cost of lung cancer patients in a third grade tumor hospital, and to provide reference for effectively controlling the hospitalization cost and reducing the economic burden of lung cancer patients. Methods: The data of hospitalization costs of 7136 patients with lung cancer surgery in a third grade cancer hospital from 2014 to 2018 were collected and analyzed by grey correlation and structural variation methods. Results: 1) The total hospitalization cost of lung cancer patients in-creased firstly and then decreased;2) The correlation coefficient of drug cost is large, the correla-tion degree is 0.9853, and the correlation rank is the first;3) The total structural variation of lung cancer operation cost was 60.4%, and the contribution rate of drug cost was the largest. Conclusion: The cost of medicine and diagnosis is still the main item affecting the hospitalization cost. We should control the total hospitalization cost reasonably, strengthen the supervision of medical market, and continue to deepen the reform of medical service price.