摘要
目的探讨结直肠癌患者住院费用的主要影响因素,为合理有效地控制医疗费用增长,降低结直肠癌患者的经济负担提供参考。方法对2013年-2015年某肿瘤医院收治的首次住院的1765例原发性结直肠癌患者进行通径分析研究其住院费用的影响因素。结果住院天数是影响住院费用的最主要因素,住院天数与住院费用呈正相关。T分期、主要治疗方案和转归情况对住院费用既有直接作用,又有间接作用。住院天数、主要治疗方案和转归情况影响住院费用的总作用大小分别为0.605、-0.499和-0.326。结论住院天数、主要治疗方案和转归情况是影响结直肠癌患者住院费用的主要因素。通过采取制定结直肠癌诊疗规范或临床路径等综合措施,合理缩短住院天数,可以控制住院费用增长,减轻结直肠癌患者经济负担。
Objective To study the main influencing factors on hospitalization expenses of colorectal cancer patients and provide the reference for effectively controlling the growth of medical expenses and reducing the economic burden on colorectal cancer patients.Methods The first hospitalization expenses of 1765 primary colorectal cancer patients in a tumor hospital from 2013 to 2015 were analyzed by path analysis to study the main influencing factors.Results Hospital stay had the greatest influence on hospitalization expenses,and was positively correlated to hospitalization expenses.Stage T,main treatment,and medical results both directly and indirectly influenced hospitalization expenses.The influences of hospital stay,main treatment and medical results on hospitalization expenses were 0.605,-0.499 and-0.326,respectively.Conclusion Hospitalization stay,main treatment and medical results were the main factors influenced the hospitalization expenses of colorectal cancer patients.Comprehensive measures should be taken to reasonably short Hospitalization stay,such as the formulation of colorectal cancer diagnosis and treatment standards or clinical pathway to control the growth of hospitalization expenses and reduce the economic burden on patients with colorectal cancer.
作者
刘敏
吴华章
Liu Min;Wu Huazhang
出处
《中国病案》
2018年第6期32-35,共4页
Chinese Medical Record
关键词
结直肠癌
住院费用
通径分析
Colorectal cancer
Hospitalization expense
Path analysis
