| 程 斌,吴风琴,林振威.以乳腺癌为例探讨单病种付费方式对肿瘤专科医院住院费用的影响[J].中国肿瘤,2021,30(1):54-57. |
| 以乳腺癌为例探讨单病种付费方式对肿瘤专科医院住院费用的影响 |
| Influence of Single Disease Payment Mode on the Hospitalization Expenses of Cancer Specialized Hospital：Taking Breast Cancer as an Example |
| 中文关键词 修订日期：2020-05-15 |
| DOI：10.11735/j.issn.1004-0242.2021.01.A006 |
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| 中文关键词: 单病种定额付费 乳腺癌 住院费用 肿瘤专科医院 |
| 英文关键词:quota payment of specific diseases breast cancer hospitalization expenses cancer specialized hospital |
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| 中文摘要: |
| 摘 要：［目的］ 探讨肿瘤专科医院开展单病种付费方式后，对住院费用产生的影响。［方法］采用回顾性调查研究的方法，选取中国科学院大学附属肿瘤医院(浙江省肿瘤医院)2015年12月—2019年12月出院诊断为乳腺恶性肿瘤且行乳腺癌根治术（单侧）的患者，分纵向和横向两个维度对比分析患者住院费用相关数据。［结果］ 纵向对比：实施单病种定额付费后，单病种付费患者住院费用下降3675元，其中药费下降2575元，材料费下降2382元，检查费下降66元，住院时间下降3d，差异有统计学意义（P<0.05）；横向对比：实施单病种付费后，纳入单病种付费患者较非单病种付费患者住院费用下降 947元，差异有统计学意义（P<0.05），药费、耗材费、化验费等项目有小幅下降，但差异没有统计学意义（P>0.05）。［结论］实施单病种付费有效降低了乳腺恶性肿瘤行乳腺癌根治术（单侧）患者的住院费用，缩短了患者的住院时间，减轻了患者的负担。希望能制定更科学合理的付费机制，确保医疗质量的同时能进一步控制患者医疗费用。 |
| 英文摘要: |
| Abstract：［Purpose］ To investigate the influence of the single disease payment of specific diseases on hospitalization expenses in a cancer specialized hospital.［Methods］ The medical records and hospital expenses of 2343 discharged breast cancer patients who underwent unilateral mastectomyin Zhejiang Cancer Hospital from December 2015 to December 2019 were retrospectively analyzed. The single diseases payment had been implemented for selected patients since December 2017. There were 528 patients discharged during December 2015 to November 2017(control group 1). During December 2017 to December 2019，the single payment was not applied in 1260 patients(control group 2) and applied in 555 patients(research group). The hospitalization expenses were compared between research group and control groups.［Results］ Compared to control group 1 the cost per hospitalization in research group decreased by 3675 Yuan，including 2575 Yuan for drug cost，2382 Yuan for material cost and 66 Yuan for inspection cost，and the length of hospital staydecreased by 3 days(P<0.05). Compared to control group 2 the cost per hospitalization in research group decreased by 947 Yuan，among which the decrease of drug，material and lab tests costs was not significant(P>0.05).［Conclusion］ The implementation of quota payment of specific diseases have effectively reduced the hospitalization expenses of breast cancer patients who were undergoing unilateral radical mastectomy，shortened the length of hospital stay and relived the burden of patients. |
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