| 徐张燕,周守君,季 花.某三级肿瘤专科医院肺癌住院医药费用与影响因素分析[J].中国肿瘤,2015,24(11):915-918. |
| 某三级肿瘤专科医院肺癌住院医药费用与影响因素分析 |
| An Analysis of Hospitalization Expenses and Its Influencing Factors of In-patients with Lung Cancer in a Tertiary Cancer Hospital |
| 投稿时间：2015-07-31 |
| DOI：10.11735/j.issn.1004-0242.2015.11.A006 |
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| 中文关键词: 肺癌 住院病人 医药费用 影响因素 |
| 英文关键词:lung cancer in-patient medical expenses influencing factors |
| 基金项目:江苏卫生国际交流支撑项目(JSH201109) |
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| 摘要点击次数: 1921 |
| 全文下载次数: 961 |
| 中文摘要: |
| 摘 要：［目的］ 分析肺癌患者住院费用的特点，探索影响肺癌患者住院费用的主要因素。［方法］ 抽取某肿瘤专科医院2005~2011年期间全部肺癌患者HIS系统资料。［结果］ 2005~2011年间肺癌患者住院天数逐年下降，但日均住院费用逐年增长，累计增长73.6%；人次均住院费用为20 172.13元，其中药费13 067.41元，占64.78%。多元逐步回归分析显示药品比例、是否手术、出院年份、职业、病人来源和支付方式等因素对住院费用有较大影响。［结论］ 肺癌患者直接经济负担沉重，应加强改革，建立住院医药费用合理形成和调控的长效机制。 |
| 英文摘要: |
| Abstract：［Purpose］ To investigate the characteristics of hospitalization expenses and to explore ist main influencing factors of in-patients with lung cancer.［Methods］ All discharges with lung cancer from 2005 to 2011 in a tertiary cancer hospital were extracted from hospital information system(HIS)，and the information of their hospitalization expenses was analyzed. ［Results］ The hospital stay time of in-patients with lung cancer reduced yearly from 2005 to 2011，but the daily medical cost increased year by year with the cumulative increase rate of 73.6%. The average person-time medical cost was 20172.13 yuan，of which drugs was 13067.41yuan，accounting for 64.78%. The multiple regression analysis showed that the main factors related to hospitalization expenses of in-patients with lung cancer included the proportion of drugs，operation or not，time(year) of discharged，the occupation，the area of origin and the medical cost payment. ［Conclusion］ The burden of direct economic expenses of in-patients with lung cancer was heavy. Health care reform was needed to establish a long-term mechanism for the formation and control of hospitalization charges. |
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