摘要
[目的]对原发性肝癌患者住院费用的结构变化及原因进行分析,为合理控制费用提供参考。[方法]提取山东省某三甲医院2018-2022年2601例原发性肝癌患者住院病案首页信息,采用结构变动度及灰色关联分析法对住院费用构成及关联度进行定量分析。[结果]2018-2022年,2601例患者住院费用结构变动度为25.93%;检查诊断费、药品费、综合医疗费和耗材费4项费用的累计结构贡献率为97.48%,其中检查诊断费和药品费贡献率较高,分别为35.80%和35.41%。药品费呈负向变动趋势,综合医疗费、检查诊断费、耗材费波动幅度较大,治疗费、输血费波动幅度较小;5年来,耗材费与住院费用的关联度均排在前两位,关联度最大为0.939。[结论]原发性肝癌患者住院费用结构优化调整初见成效,费用结构趋向合理,但仍有优化空间。
Objective This paper analyzes the structural changes and reasons of hospitalization expenses in patients with primary liver cancer,so as to provide the reference for reasonable cost control.Methods The information in the first page of medical records of 2601 patients with primary liver cancer from 2018 to 2022 in a grade-A hospital in Shandong Province was extracted.The structural variation and the grey correlation analysis were used to quantitatively analyze the composition and the correlation degree of hospitalization expenses.Results From 2018 to 2022,the structural variation of hospitalization expenses for 2601 patients was 25.93%;the cumulative contribution rate of structural variation of check-up cost,medicine expenses,comprehensive medical expenses and consumable expenses was 97.48%,among which the contribution rates of check-up cost and medicine expenses were high,35.80%and 35.41%respectively.The medicine expenses showed a negative trend,while the comprehensive medical expenses,check-up cost and consumables expenses fluctuated significantly.Treatment fees and the cost of a blood transfusion fluctuated less.Over the past five years,the correlation between consumable expenses and hospitalization expenses ranked the top two,with the maximum correlation of 0.939.Conclusions The structure optimization of hospitalization expenses of patients with primary liver cancer has achieved initial results,and the cost structure tends to be reasonable.However,there is still room for optimization.
作者
董均明
茹义福
王佳帅
韩倩
郭梦
唐长冬
DONG Junming;RU Yifu;WANG Jiashuai;HAN Qian;GUO Meng;TANG Changdong(Jining NO.1 People s Hospital,Jining Shandong 272000,China)
出处
《卫生软科学》
2024年第2期76-80,共5页
Soft Science of Health
基金
山东省自然科学基金(ZR2019MH058)
山东省医药卫生科技项目(202115020385)
2023年度济宁市哲学社会科学规划项目(23JSGX136)。
关键词
肝癌
住院费用
结构变动度
灰色关联分析
liver cancer
hospitalization expenses
structural variation
grey correlation analysis
