张 侨,宋沈超,付 东.县级公立医院肿瘤患者例均新农合补偿费用与住院天数关系的研究[J].中国肿瘤,2018,27(2):118-122.
县级公立医院肿瘤患者例均新农合补偿费用与住院天数关系的研究
Relationship Between Compensation Costs of New Rural Cooperative Medical System and Length of Stay for Cancer Patients in County-level Public Hospitals
投稿时间:2017-06-08  
DOI:10.11735/j.issn.1004-0242.2018.02.A007
中文关键词:  县级医院  肿瘤  新农合基金  住院天数
英文关键词:county hospital  tumor  new rural cooperative fund  number of days in hospital
基金项目:
作者单位
张 侨 贵州医科大学公共卫生学院环境污染与疾病监控教育部重点实验室 
宋沈超 贵州医科大学公共卫生学院环境污染与疾病监控教育部重点实验室 
付 东 贵州医科大学公共卫生学院环境污染与疾病监控教育部重点实验室 
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中文摘要:
      摘 要:[目的] 研究县级公立医院肿瘤患者例均新农合补偿费用与住院天数的关系,为减少新农合基金的支出提供依据。[方法] 从贵州省88个县级行政区中随机抽取10个县作为研究地区,每个县均有两家公立医院(县人民医院和县中医院),共20家。收集20家县医院2013~2015年的病案首页,采用回归分析探索肿瘤住院患者例均新农合补偿费用与住院天数的关系。[结果] 3年的数据变化总体一致,得出例均补偿费用y与住院天数x的分段回归方程:当1≤x≤20,y=366.94x+178.11;当20≤x≤33,y=41.05x2-1385.97x+17113.29。[结论] 住院天数对患者的补偿费用影响明显,控制住院天数对降低新农合基金支出、保障新农合基金安全有重要意义。
英文摘要:
      Abstract:[Purpose] To study the relationship between the compensation costs of the New Rural Cooperative Medical System (NRCMS) and the length of hospital stay for cancer patients at the county-level hospitals. [Methods] Ten out of 88 counties in Guizhou Province were randomly selected as study sites and 2 public hospitals(county people’s hospital and TCM hospital) in each county were included in the study. The medical records of 20 county hospitals from 2013 to 2015 were collected. The relationship between the new rural cooperative compensation fees and hospitalization days was analyzed with regression analysis. [Results] The data of the three years were consistent. The piecewise regression equation of the average compensation costs y and hospitalization days x was set:when 1≤x≤20,y=366.94x+178.11;when 20≤x≤33,y=41.05x2-1385.97x+ 17113.29. [Conclusion] The number of hospitalization days has a significant effect on the compensation costs of NRCMS,which suggests that it is important to control the hospitalization days to reduce the expenditure of the new rural cooperative medical fund and ensure the safety of the new rural cooperative medical fund.
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