边远少数民族地区肺癌医疗负担时空分布——基于ARIMA模型
发布时间：2018-10-30 20:39
【摘要】：目的:了解边远少数民族地区肺癌患者的医疗负担及时空分布,为医疗费用的控制和人们医疗负担的缓解提供决策依据。方法:测算2010-2015年肺癌患者的医疗负担、诊断费、治疗费和其他费用的人年均费用及增长速度;使用T检验和秩和检验分析不同性别、民族、是否手术、不同年龄、出院转归之间费用的差异性;使用ARIMA模型预测2016年-2017年肺癌疾病医疗负担的时空发展趋势及费用。结果:肺癌患者疾病医疗负担比较重,费用主要以诊断费和药费为主;不同民族、是否手术、不同年龄、出院转归之间的医疗负担差异有统计学意义(P0.05);经分析预测,从2010-2015年医疗负担平均增长速度为0.22%,肺癌患者医疗总负担在时空上呈缓慢上升趋势。结论:肺癌患者疾病医疗负担不容忽视,应对疾病产生的环境因素进行进一步的研究,在边远贫困的少数民族地区宣传肺癌疾病的预防,做到早发现,早诊断,早治疗,提高少数民族的就医意识;加快大病保险的改革,改善人们的疾病医疗负担;推进"医养结合"政策的实施,从老年人口出发缓解肺癌患者疾病医疗负担。
[Abstract]:Objective: to investigate the medical burden and temporal and spatial distribution of lung cancer patients in remote ethnic minority areas, and to provide decision basis for the control of medical expenses and the relief of people's medical burden. Methods: the average annual cost and growth rate of lung cancer patients' medical burden, diagnosis fee, treatment fee and other expenses from 2010 to 2015 were calculated. T test and rank sum test were used to analyze the difference of cost between gender, nationality, operation, age and outcome of discharge, and ARIMA model was used to predict the development trend and cost of the medical burden of lung cancer from 2016 to 2017. Results: the medical burden of lung cancer patients was heavy, the cost was mainly the cost of diagnosis and medicine, the difference of medical burden between different nationalities, operation, age and discharge was statistically significant (P0.05). From 2010 to 2015, the average growth rate of medical burden is 0.22. The total medical burden of lung cancer patients is increasing slowly in time and space. Conclusion: the medical burden of lung cancer patients should not be ignored, the environmental factors should be further studied, the prevention of lung cancer diseases should be propagated in the remote and poor minority areas, and early detection, diagnosis and treatment should be achieved. To raise the awareness of medical treatment of ethnic minorities; To speed up the reform of the insurance for serious illness, to improve the medical burden of people's disease, to promote the implementation of the policy of "combination of medical treatment and support", and to alleviate the medical burden of lung cancer patients from the elderly population.
【作者单位】： 新疆医科大学公共卫生学院;复旦大学协同创新中心新疆医科大学分中心;
【基金】：新疆维吾尔自治区科技项目“新疆医疗保障均等化趋势研究”(编号:201442113) 华西合作项目(横向课题):肺癌疾病经济负担研究
【分类号】：R734.2
本文编号：2301121
[Abstract]:Objective: to investigate the medical burden and temporal and spatial distribution of lung cancer patients in remote ethnic minority areas, and to provide decision basis for the control of medical expenses and the relief of people's medical burden. Methods: the average annual cost and growth rate of lung cancer patients' medical burden, diagnosis fee, treatment fee and other expenses from 2010 to 2015 were calculated. T test and rank sum test were used to analyze the difference of cost between gender, nationality, operation, age and outcome of discharge, and ARIMA model was used to predict the development trend and cost of the medical burden of lung cancer from 2016 to 2017. Results: the medical burden of lung cancer patients was heavy, the cost was mainly the cost of diagnosis and medicine, the difference of medical burden between different nationalities, operation, age and discharge was statistically significant (P0.05). From 2010 to 2015, the average growth rate of medical burden is 0.22. The total medical burden of lung cancer patients is increasing slowly in time and space. Conclusion: the medical burden of lung cancer patients should not be ignored, the environmental factors should be further studied, the prevention of lung cancer diseases should be propagated in the remote and poor minority areas, and early detection, diagnosis and treatment should be achieved. To raise the awareness of medical treatment of ethnic minorities; To speed up the reform of the insurance for serious illness, to improve the medical burden of people's disease, to promote the implementation of the policy of "combination of medical treatment and support", and to alleviate the medical burden of lung cancer patients from the elderly population.
【作者单位】： 新疆医科大学公共卫生学院;复旦大学协同创新中心新疆医科大学分中心;
【基金】：新疆维吾尔自治区科技项目“新疆医疗保障均等化趋势研究”(编号:201442113) 华西合作项目(横向课题):肺癌疾病经济负担研究
【分类号】：R734.2
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1 林春芳,周天枢,陈崇帼;用ARIMA模型预测福建肝癌发展趋势[J];中国公共卫生;1998年12期
，本文编号：2301121
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