CAJ | 학술논문

目的：本研究通过对上海市某三级甲等肿瘤专科医院大肠癌住院费用影响因素及影响程度来分析恶性肿瘤现有补偿方式的不足，提出控制医疗费用的建议。方法典型调查三级甲等肿瘤专科医院大肠癌规范化治疗的病例的住院费用。应用多元线性逐步回归分析探讨影响肿瘤患者住院医疗费用的因素结果住院天数、并发症合并症是影响大肠癌住院总费用的关键因素，成正相关。结论通过优化大肠癌的住院时间和制定统一的诊疗规范进行有效的执行、协调、监测及记录，减少并发症的发生，使得患者尽快康复，从而合理控制医疗费用。
목적：본연구통과대상해시모삼급갑등종류전과의원대장암주원비용영향인소급영향정도래분석악성종류현유보상방식적불족，제출공제의료비용적건의。방법전형조사삼급갑등종류전과의원대장암규범화치료적병례적주원비용。응용다원선성축보회귀분석탐토영향종류환자주원의료비용적인소결과주원천수、병발증합병증시영향대장암주원총비용적관건인소，성정상관。결론통과우화대장암적주원시간화제정통일적진료규범진행유효적집행、협조、감측급기록，감소병발증적발생，사득환자진쾌강복，종이합리공제의료비용。
Objective This study aims to find the influencing factors through analysis of discharged patients’ expenditure of colorectal cancer and give suggestions for controling inpatient expenditure. Methods Colect discharge patients’ expenditure of a level II grade A cancer specialized hospital in Shanghai. A multiple linear regression was applied to analyze the influencing factors of medical expenses. Results The results showed that the most influential factors for inpatient expenditure are length of stay and complication.