新农合食道癌患者住院费用影响因素调查与分析

目的 了解新农合食道癌患者住院费用及影响因素,为政策制定提供参考.方法 从山东省某县新农合数据库中抽取2006～2010年食道癌506例住院病历,采用方差分析、多元逐步回归分析,对住院费用影响因素进行分析.结果不同年份食道癌患者次均住院费用变化趋势不一,但日均住院费用呈上升趋势.多因素分析显示,医院级别、住院天数、是否术后、年龄是住院费用的影响因素.结论 相关部门应积极采取措施,引导患者正确就医;应加强对大医院医疗行为的监管,促使住院费用逐步趋于合理.

Investigation and Analysis on the Influencing Factors of Esophageal Cancer Expenses of NRCMS Inpatients

Objective To analyze the influencing factors of esophageal cancer inpatients’ expenses,and provide the policy recommendations.Method Totally 506 inpatients in 2006~2010 with esophageal cancer of NRCMS in Linqu were selected for analysis of influencing factors with the analysis of variance and the multiple stepwise regression analysis method.Result The changing of hospitalization costs of every times had different trends in the different years,but hospitalization costs per day had increase trend.The multivariate analysis showed that hospital institutional level,length of stay,post-surgery and age were the influencing factors of the inpatients expenses.Conclusion The relative departments should take measures to guide patients to the primary hospital for medical treatment and reduce unnecessary hospitalization to make hospital costs reasonable.