直肠肿瘤手术患者费用负担影响因素的树分析

发布时间：2018-04-17 19:21

  本文选题：直肠肿瘤 + 住院费用　； 参考：《中国卫生经济》2017年08期

【摘要】：目的:分析直肠恶性肿瘤手术患者的住院费用负担情况,探讨其影响因素和分组路径,为医疗机构费用管理作借鉴,为减轻患者负担作参考。方法:回顾搜集2014年1月—2015年12月直肠肿瘤住院手术患者数据,应用树模型来推断住院费用负担的相关影响因素。结果:根治手术、超声刀与高频电刀的使用与住院费用可能存在统计学关联,造瘘手术与否、DRGs分组是患者住院费用及基金申报的主要判别因素。结论:医保待遇差异影响患者负担水平,手术术式及DRGs分组影响病种疾病负担,一方面政府应充分发挥医保的引导和杠杆作用,另一方面医疗机构宜细化病种费用管理、强化病种成本核算,共同推动肿瘤专业的三医联动。
[Abstract]:Objective: to analyze the burden of hospitalization expenses of patients with rectal malignant tumor, and to explore its influencing factors and grouping path, so as to provide reference for the management of medical institutions' expenses and to reduce the burden of patients.Methods: data of inpatients with rectal neoplasms from January 2014 to December 2015 were collected retrospectively and the related factors of hospitalization cost burden were inferred by tree model.Results: the use of radical operation, ultrasonic knife and high frequency electric knife may be statistically related to the hospitalization expenses. The main discriminant factors of hospital expenses and fund declaration were whether or not the group of DRGs was used in the operation of fistula.Conclusion: the difference of medical insurance treatment affects the burden level of patients, and the operation method and DRGs group affect the burden of diseases. On the one hand, the government should give full play to the guidance and leverage of medical insurance, on the other hand, the medical institutions should refine the management of disease cost.Strengthen the cost accounting of disease, promote cancer professional three-doctor linkage.
【作者单位】： 北京大学肿瘤医院医疗保险处;北京大学肿瘤医院病案统计室;
【分类号】：R197.3;R735.37
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本文编号：1764936