江苏省老年女性五种大病住院费用及影响因素

发布时间：2018-05-31 15:52

本文选题：恶性肿瘤 + 住院费用　；参考：《中国老年学杂志》2017年02期

【摘要】：目的探讨老年女性恶性肿瘤患者住院医疗费用的影响因素及恶性肿瘤费用控制并提出重特大疾病的医保支付管理建议。方法采用横断面研究方法。使用SPSS21.0软件,对某肿瘤医院60岁以上老年女性5种恶性肿瘤医疗费用影响因素进行回归分析。结果老年女性住院平均年龄67.11岁;平均住院天数18.77 d。5种恶性肿瘤住院费用主要影响因素为手术、医保、住院天数、年龄,不同疾病之间费用差异明显;经过回归处理,方程R~2=0.621,调整R2=0.618(P0.05),可以解释61.8%费用变动情况。结论大病保险支付制度在一定程度上促进医保患者采取更为积极的治疗办法,在现行医疗保障制度下,推行以证据为基础的支付管理办法,建立医院绩效考核体系,从供方入手控费才能使制度走向可持续的发展道路。
[Abstract]:Objective to explore the influencing factors of hospitalization medical expenses of elderly female patients with malignant tumor and the cost control of malignant tumor. Methods Cross-sectional study was used. Using SPSS21.0 software, regression analysis was carried out on the influencing factors of medical expenses of 5 kinds of malignant tumors in elderly women over 60 years old in a tumor hospital. Results the average hospitalization age of elderly women was 67.11 years old, the average hospitalization days were 18.77 days, the main influencing factors were operation, medical insurance, hospitalization days, age, and the cost of different diseases. The equation R _ (2) O _ (2) C _ (0.621) and the adjustment of R _ (2) O _ (2) O _ (0.618) P _ (0.05) can explain 61.8% of the cost variation. Conclusion to a certain extent, the payment system of serious illness insurance can promote the patients to take more active treatment methods. Under the current medical security system, the payment management method based on evidence should be carried out, and the hospital performance appraisal system should be established. Only by controlling the cost from the supply side can the system move towards sustainable development.
【作者单位】：东南大学公共卫生学院;
【基金】：国家自然科学基金(71373042)
【分类号】：R197.3;R730.5

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