基于递归系统模型的宫颈癌患者住院费用影响因素分析

发布时间：2018-03-07 05:09

本文选题：递归系统模型　切入点：宫颈癌　出处：《中国卫生统计》2017年02期 　论文类型：期刊论文

【摘要】：目的分析宫颈癌患者住院费用的影响因素,为控制住院费用提供依据。方法收集厦门市某三甲医院2012-2014年入院接受治疗且信息完整的宫颈癌患者的一般情况和住院费用等资料,通过递归系统模型分析各因素的直接与间接效应,计算总效应,找出费用控制的关键性因素。结果共纳入524例宫颈癌患者,其中医保患者占49.8%,首诊年龄的中位数为48岁,住院天数的中位数为28天,总费用的中位数为43841.06元。支付方式、转移情况对总费用仅有直接效应,同时治疗其他疾病、MRI检查仅有间接效应;临床分期、治疗方案、手术方式既有直接效应又有间接效应;治疗方案的总效应值最大。结论宫颈癌住院费用受到多个因素的直接效应、间接效应、直接和间接效应的影响,其中以治疗方案的影响最大。可通过规范化制定治疗方案控制宫颈癌的住院费用。
[Abstract]:Objective to analyze the factors influencing the hospitalization cost of cervical cancer patients, and to provide the basis for controlling the hospitalization expenses. Methods the general situation and hospitalization expenses of cervical cancer patients who were admitted to a third Class A Hospital in Xiamen from 2012 to 2014 and received complete information were collected. The direct and indirect effects of each factor were analyzed by recursive system model, the total effect was calculated, and the key factors of cost control were found out. Results 524 patients with cervical cancer were included, of whom 49.8 were medical insurance patients, and the median age of first visit was 48 years old. The median length of hospitalization was 28 days, and the median of total cost was 43841.06 yuan. Conclusion the cost of cervical cancer hospitalization is affected by many factors, such as direct effect, indirect effect, direct effect and indirect effect. Among them, the treatment plan has the greatest influence. The hospitalization cost of cervical cancer can be controlled by standardized treatment plan.
【作者单位】：厦门大学公共卫生学院;厦门大学附属第一医院;
【基金】：厦门大学大学生创新项目基金资助(2015X0455)
【分类号】：R197.323;R737.33

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