某医院3364例肺癌患者住院费用情况及影响因素分析

发布时间：2018-04-27 10:18

本文选题：肺癌患者 + 住院费用　；参考：《现代预防医学》2017年17期

【摘要】：目的通过分析某医院近三年肺癌住院患者费用构成及变化情况,探究影响其住院费用的关键因素,从而为费用控制策略的制定提供参考。方法从该院信息系统中抽取2014-2016年全部肺癌住院患者病案数据,应用趋势检验、Spearman秩相关检验、多重线性逐步回归等统计方法分析住院费用的变化趋势和影响因素。结果 2014-2016年该院纳入研究的3 364例肺癌患者以男性中老年为主,住院天数呈现正偏态分布,中位数为10天;三年间肺癌患者年平均住院日呈现逐年下降趋势;放疗人数呈现逐年下降趋势;住院总费用和在院期间药品费用具有高度相关性,且均呈逐年降低趋势,年降幅分别为6.84%、10.88%和13.67%、20.81%;住院天数、是否放疗、药占比、是否手术及是否有合并症为住院费用的影响因素。结论通过缩短平均住院日、控制药占比、落实按病种管理等途径可以有效降低肺癌患者住院费用,在保障医疗质量的同时减轻患者经济负担。
[Abstract]:Objective to analyze the cost composition and changes of lung cancer inpatients in a hospital in the past three years, and to explore the key factors that affect the cost of lung cancer, so as to provide a reference for the formulation of cost control strategy. Methods the medical records of all lung cancer inpatients from 2014-2016 were collected from the hospital information system. The trend test and Spearman rank correlation test, multiple linear stepwise regression and other statistical methods were used to analyze the change trend and influencing factors of hospitalization expenses. Results from 2014 to 2016, 3 364 lung cancer patients were mainly middle-aged and elderly men, with a positive distribution of hospitalization days (median of 10 days), and the average annual hospitalization days of lung cancer patients decreased year by year during the three years. The number of patients with radiotherapy showed a decreasing trend year by year, the total cost of hospitalization was highly correlated with the cost of drugs in hospital, and both showed a decreasing trend year by year, the annual decreases were 6.84% 10.88% and 13.67% 20.81%, respectively. Surgical treatment and complications were factors affecting hospital expenses. Conclusion by shortening the average hospitalization days, controlling the proportion of drugs and carrying out the management according to the type of disease, we can effectively reduce the hospitalization expenses of lung cancer patients, and reduce the economic burden of patients with lung cancer while ensuring the quality of medical treatment.
【作者单位】：四川大学华西医院运营管理部;
【基金】：国家自然科学基金重点项目"医疗服务中的资源调度与优化研究"(项目编号:71131006)
【分类号】：R197.323;R734.2

【相似文献】