摘要
目的对西安交通大学第一附属医院2008年-2012年4034例乳腺癌患者的住院费用进行研究,分析住院费用构成及影响因素,为乳腺癌的预防及控制医疗费用提供政策依据。方法在对乳腺癌患者基本情况分析的基础上,采用秩相关、秩和检验、多元线性回归对住院费用及影响因素进行分析。结果乳腺癌0期、Ⅰ期、Ⅱ期、Ⅲ期、Ⅳ期患者的住院费用分别为14882.61元,21919.17元、23885.98元、25302.23元、30937.01元;乳腺癌患者住院费用构成中Ⅰ期、Ⅱ期、Ⅲ期患者医药费占比较高(52.99%、54.58%、70.38%),其次是手术费。Ⅳ期患者的医药费占71.85%,其次是检查费。对住院费用影响显著的因素有住院天数、是否手术、药占比、医保付费方式、伴随症、转归结果和住院年份,其中前三个因素影响作用较大。结论乳腺癌患者疾病负担较重,乳腺癌患者疾病分型越高,费用也越高,因此,应从早期发现病人、提升医院管理水平及加强政府对医院的投入多个角度降低患者的费用。
Objective To study the cost of hospitalization for 4 034 cases of breast cancer in the first affiliated hospital of xi’an jiaotong university from 2008 to 2012, analyze the composition and influencing factors of hospitalization expenses, and provide policy basis for the prevention and control of medical costs of breast cancer. Methods Based on the analysis of the basic situation of breast cancer patients, use rank correlation, rank sum test, multiple linear regression to analyze the hospitalization expenses and the influencing factors. Results The hospitalization expenses of patients with stage 0, stage Ⅰ, stage Ⅱ, stage Ⅲ, and stage Ⅳ breast cancer were 14 882.61, 21 919.17, 23 885.98, 25 302.23, and 30 937.01 Yuan, respectively;The cost of hospitalization of patients with breast cancer in Phase Ⅰ,Ⅱ,Ⅲ, accounting for a higher proportion of patients medical expenses (52.99%, 54.58%, 70.38%), followed by surgery costs. Medical expenses of stage Ⅳ patients accounted for 71.85%, followed by inspection fees. Significant factors affecting the cost of hospitalization were hospitalization days, whether the operation, the proportion of medicine, medical insurance payment, companion disease, outcomes and hospitalization years, of which the first three larger factors. Conclusion Breast cancer patients have heavier burden of disease, breast cancer patients with higher disease types, the higher the cost, therefore, should be early detection of patients, improve hospital management and government investment in hospitals from many angles to reduce the cost of patients.
作者
寇筱琛
闫菊娥
杨晓玮
钱玉燕
杜蕾蕾
Kou Xiaochen;Yan Ju’e;Yang Xiaowei;Qian Yuyan;Du Leilei(School of Public Policy and Administration, Xi’an Jiao tong University, Xi’an Shaanxi 710049, China;School of Humanities and Social Sciences, Xi’an Jiao tong University, Xi’an Shaanxi 710049, China)
出处
《临床研究》
2019年第8期1-4,共4页
Clinical Research
基金
国家社会科学基金项目(12BJY143)
关键词
乳腺癌
住院费用
费用构成
影响因素
breast cancer
hospitalization expenditure
construction of hospitalization expenditure
influencing factors
