摘要
目的了解辽宁省某肿瘤医院结直肠癌化疗患者住院费用的主要影响因素、住院费用的结构变动趋势及影响结构变动的主要因素。方法对2013年1月-2015年12月某肿瘤医院收治首次住院单纯化疗的原发性结肠癌和直肠癌患者429例,收集药费、检查化验费、治疗费、护理费和其他费用。采用卡方检验对住院费用构成进行统计学分析,采用灰色关联法分析住院费用各项目与住院费用的关联程度,采用结构变动度法分析住院费用的结构变动情况。结果住院费用构成比差异有统计学意义,药费关联度最大(1.0000),其次是其他费用(0.8727);检查化验费结构变动贡献率最大(44.57%),其次是护理费(24.99%)和其他费用(15.47%),三者累计贡献率为85.03%。检查化验费和护理费呈负向变化,其他费用呈正向变化。结论药费和其他费用是影响住院费用的主要因素,检查化验费、护理费和其他费用是引起住院费用结构变动的主要因素。加强对药品、卫生材料和检查化验项目使用的监管,能够减轻患者的住院费用负担。
Objectives To understand the main influencing factors of hospitalization expenses, the structural changing trend and the main influencing factors of the structural change of hospitalization expenses in chemotherapy patients with colorectal cancer in a tumor hospital in Liaoning province. Methods Medicine expenses, test laboratory expenses, treatment expenses, nursing expenses and other dxpenses of 429 patients with primary colon and rectal cancer who were hospitalized and received chemotherapy treatment alone for the first time from January 2013 to December 2015 were collectecl.Chi-square test was used to analyze the composition of hospitalization expenses.Gray relevancy analysis was used to analyze the correlation between hospitalization expenses factors and hospitalization expenses, and the changing trend of hospitalization expense structure was analyzed by Degree of structure variation analysis. Results There was significant difference in the composition of hospitalization expenses,Medicine expenses had greatest relevancy（1.0000）, followed by other expenses（0.8727）. Test laboratory expenses contributed mostly to structural change of hospitalization expenses（44.57%）, followed by nursing expenses（24.99%） and other expenses（15.47%）, the cumulative contribution rate of the three items was 85.03%. Test laboratory expenses and nursing expenses showed negative changes, and other expenses showed positive changes. Conclusions Medicine expenses and other expenses were the main factors influencinghospitalization expenses, and test laboratory expenses, nursing expenses and other expenses were the main factors leading structural changes of hospitalization expenses. Strengthening the supervision of the use of medicines, health materials and inspection and testing projects could reduce patients＇ burden of hospitalization expenses.
作者
刘敏
吴华章
Liu Min,Wu Huazhang(Cancer Hospital of China Medical University, Liaoning Cancer Hospital ＆ Institute, Shenyang 110042, Liaoning Province, Chin)
出处
《中国病案》
2018年第5期41-44,共4页
Chinese Medical Record
关键词
住院费用
结直肠癌
灰色关联分析
结构变动度
Hospitalization expenses
Colorectal cancer
Gray relevancy analysis
Degree of structure variation
