| 肖海帆,廖先珍,许可葵.2002~2014年1542例肺癌患者住院费用分析[J].中国肿瘤,2016,25(5):338-344. |
| 2002~2014年1542例肺癌患者住院费用分析 |
| An Analysis of Hospitalization Costs of 1542 Cases with Lung Cancer from 2002 to 2014 |
| 投稿时间：2015-12-08 |
| DOI：10.11735/j.issn.1004-0242.2016.05.A003 |
|
 |
| 中文关键词: 肺癌 住院费用 多元逐步回归 费用分析 |
| 英文关键词:lung cancer hospital costs multiple stepwise regressions cost analysis |
| 基金项目: |
|
| 摘要点击次数: 1910 |
| 全文下载次数: 984 |
| 中文摘要: |
| 摘 要：［目的］探讨肺癌患者住院费用的变化和影响因素，为肺癌患者住院费用合理控制提供理论依据。［方法］ 选取2002~2014年湖南省某三级甲等专科医院收治的1542例肺癌患者为研究对象，采用方差分析和多元逐步回归分析对其多次住院总费用影响因素进行分析。［结果］1542例肺癌患者平均就诊年龄56.49±9.7岁，平均住院天数33d，人均住院费用34 300.0元，且2002~2014年总体呈上升趋势；住院费用构成中，药品费占比最大，达56.6%，其次是材料费、检查费和治疗费，其占比分别是9.7%、8.4%和8.1%。住院费用的影响因素依次为：是否手术、住院次数、住院天数、伴随疾病否、就诊年龄、是否腺癌和是否放疗，多元回归模型中均有统计学意义（F=301.40，P＜0.05）。［结论］ 2002~2014年间肺癌患者住院费用总体呈上升趋势，建议医院针对费用影响因素，加强对药物科学合理使用、缩短住院天数及进一步提高医务工作者的医疗水平，以有效控制肺癌患者医疗费用的增长，减轻其医疗负担。 |
| 英文摘要: |
| Abstract：［Purpose］ To analyze the trends of hospitalization costs of lung cancer patients and related factors. ［Methods］ Total 1542 patients with lung cancer treated in a “Grade ⅢA” cancer hospital in Hunan province from 2002 to 2014 were included in the study. The hospitalization costs and the influencing factors were analyzed by variance analysis and multiple stepwise regression. ［Results］ The average age of included patients was 56.49±9.7 years，the mean hospital stay was 33 days，the mean hospitalization cost per case was ￥34，300 Yuan，and the whole increasing trend was noticed. The drug expense (56.6%) accounted for the largest proportion of hospitalization costs，followed by medical materials(9.7%)，examinations(8.4%) and therapy(8.1%). The surgery，admission times，length of hospital stay，concomitant diseases，age，adenocarcinoma and radiotherapy were the influencing factors for hospitalization costs（F=301.40，P＜0.05）. ［Conclusions］ The hospitalization costs of lung cancer patients are increasing from 2002 to 2014. According to the influencing factors，necessary measures should be taken to control the unreasonable growth of medical costs and reduce the burden of patients. |
|
在线阅读
查看全文 查看/发表评论 下载PDF阅读器 |