| 1389例乳腺癌患者住院费用分析及影响因素研究 |
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| 引用本文： | 马竟波,曾伟,李小军.1389例乳腺癌患者住院费用分析及影响因素研究[J].中华全科医学,2017,15(8):1433-1435. |
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| 作者姓名： | 马竟波 曾伟 李小军 |
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| 作者单位： | 蚌埠医学院第一附属医院医务处, 安徽 蚌埠 233000 |
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| 摘 要： | 目的 分析乳腺癌患者住院费用影响因素,为合理配置医疗资源、降低医疗费用和制定合理的医疗保险制度提供依据。 方法 分析安徽省某三甲医院2011年1月—2016年12月间收治的1 389例乳腺癌住院患者的住院费用构成情况,所有患者的住院信息均来自医院HIS系统,对影响住院费用的相关因素采用方差分析和多因素Logistic回归分析,采用SPSS 16.0统计学软件处理数据,针对分析结果探讨有效的干预对策。 结果 1 389例乳腺癌患者平均住院费用为(31 425.8±357.3)元,住院费用构成主要包括药品费(42.4%)、手术费(24.8%)、治疗费(9.1%)和其他费用(16.5%)等方面。单因素分析结果表明住院次数、住院天数、付费方式、临床分期及治疗方式是影响住院费用的因素(P<0.01)。多因素Logistic回归分析结果表明住院次数、住院天数及临床分期是影响住院费用的主要因素(P<0.05)。 结论 影响乳腺癌患者住院费用的因素较多,分析乳腺癌患者住院费用影响因素对控制医疗费用不合理增长具有重要的意义。卫生行政部门及医院应联合对不合理增长的医疗费用进行干预,从而降低医疗费用,减轻患者经济负担。
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| 关 键 词： | 乳腺癌 住院费用 影响因素 单因素分析 Logistic回归分析 |
| 收稿时间： | 2017-02-07 |
A study of hospitalization costs and influencing factors based on analysis of 1389 breast cancer patients |
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| Affiliation: | Department of Medical Management, the First Affiliated Hospital of Bengbu Medical College, Bengbu, Anhui 233000, China |
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| Abstract: | Objective To analyze the influencing factors of hospitalization costs of patients with breast cancer, and provide the basis for allocating medical resources, reducing medical expenses and establishing reasonable medical insurance system. Methods The expenditure pattern of hospitalization costs of 1 389 cases of breast cancer in a third grade hospital in Anhui Province between January, 2011 and December, 2016 were retrospectively analyzed. The hospital information of all patients was got from hospital HIS system. ANOVA and multivariate Logistic regression analysis by SPSS 16. 0 were conducted for the related factors of hospitalization cost. The effective intervention strategies were put forward according to the results. Results Among 1 389 breast cancer patients, the average hospitalization cost was (31 425. 8 ±357. 3) yuan, the hospitalization cost was mainly composed of drug fee (42. 4%), operation fee (24. 8%), treatment fee (9. 1%) and other expenses (16. 5%). The single factor analysis showed that the number of hospitalization, days of hospitalization, mode of payment, clinical stage and treatment methods were the affecting factors of hospitalization cost (P < 0. 01). Multivariate Logistic regression analysis showed that the number of hospitalization, days of hospitalization, and clinical stage were the main factors that affecting hospitalization costs (P < 0. 05). Conclusion There are many factors that may affect hospitalization cost of patients with breast cancer, analysis of the influencing factors of hospitalization cost of breast cancer patients has great significance to control the unreasonable growth of medical cost. Health administrative department and hospital should intervene in the unreasonable growth of medical cost, so as to reduce the cost of medical treatment and economic burden of patients. |
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