摘要
目的调查某院甲状腺恶性肿瘤手术患者住院费用及其影响因素。方法收集新疆某院2014年1月1日-2018年12月31日出院且第一诊断为甲状腺恶性肿瘤的手术患者,采用描述性分析、秩和检验、相关分析和多元线性回归分析住院费用。结果住院费用占比前三的依次为药品费、手术费、一次性耗材费;住院天数、有无转科、民族是住院总费用的主要影响因素;住院天数与转科情况(r_s=0.48,P<0.001)呈正相关。结论住院天数是影响甲状腺恶性肿瘤手术患者住院费用最主要的因素,其次是有无转科,在保证医疗质量的前提下通过缩短住院天数,降低转科率,多举措降低住院费用。
Objective To investigate the hospitalization cost and its influencing factors of thyroid cancer patients in a hospital in Xinjiang.Methods The patients who were discharged from a hospital in Xinjiang from January 1,2014 to December 31,2018 and were first diagnosed as thyroid cancer were collected.The hospitalization cost was analyzed by descriptive analysis,rank sum test,correlation analysis and multiple linear regression.Results The first three expenses were medicine expenses,operation expenses and one-time consumables expenses.The main influencing factors of the total expenses were the number of days in hospital,whether there was transfer and nationality.The number of days in hospital was positively correlated with the transfer(rs=0.48,P<0.001).Conclusion The length of stay in hospital is the most important factor to affect the cost of thyroid cancer surgery,and the second is whether there is transfer.On the premise of ensuring the quality of medical treatment,we should shorten the length of stay,reduce the rate of transfer,and take multiple measures to reduce the cost of hospitalization.
作者
董严严
王莉莉
罗军
Dong Yanyan;Wang Lili;Luo Jun(Center for Digestive Vessel Surgery,The First Affiliated Hospital of Xinjiang Medical University,Urumqi 830054,Xinjiang Uygur Autonomous Region,China)
出处
《中国病案》
2020年第4期58-61,共4页
Chinese Medical Record
基金
新疆自治区“十三五”重点学科(临床医学高峰学科)【新教研(2016)7号】。
关键词
甲状腺恶性肿瘤
手术
住院费用
影响因素
Thyroid malignant tumors
Surgical
Hospitalization costs
Influencing factors
