中国卫生经济
中國衛生經濟
중국위생경제
CHINESE HEALTH ECONOMICS
2014年
7期
57-60
,共4页
陈治水%冷家骅%高广颖%刘忆
陳治水%冷傢驊%高廣穎%劉憶
진치수%랭가화%고엄영%류억
肿瘤%住院费用%影响因素
腫瘤%住院費用%影響因素
종류%주원비용%영향인소
tumor%hospitalization expense%influencing factor
目的：分析人群中5种常见肿瘤的住院费用分布情况并探讨其影响因素，为合理配置医疗资源以及降低医疗费用提供参考依据。方法：以北京市ZL肿瘤医院2008-2012年第一诊断为结肠癌、直肠癌、肝癌、肺癌、乳腺癌的住院患者为研究对象。描述性阐述5种病种的费用分布、构成及其平均住院日情况，对影响住院费用的影响因素做多元逐步回归分析。结果：搜集肿瘤患者数据22995例，结果显示肿瘤患者住院费用金额较大，药品费用是最主要构成；住院天数、是否手术、入院年份、是否首次入院、是否医保，是住院费用的主要影响因素。结论：扩大医保政策覆盖面和医保报销水平、建立大病保险和商业补充保险，是降低肿瘤患者经济负担的体制要求；药品的合理规范使用，是控制医疗费用增长的必经之路；同时强化医院管理，从缩短住院天数、开展合理诊疗等方面，终末端减轻患者和社会的经济负担。
目的：分析人群中5種常見腫瘤的住院費用分佈情況併探討其影響因素，為閤理配置醫療資源以及降低醫療費用提供參攷依據。方法：以北京市ZL腫瘤醫院2008-2012年第一診斷為結腸癌、直腸癌、肝癌、肺癌、乳腺癌的住院患者為研究對象。描述性闡述5種病種的費用分佈、構成及其平均住院日情況，對影響住院費用的影響因素做多元逐步迴歸分析。結果：搜集腫瘤患者數據22995例，結果顯示腫瘤患者住院費用金額較大，藥品費用是最主要構成；住院天數、是否手術、入院年份、是否首次入院、是否醫保，是住院費用的主要影響因素。結論：擴大醫保政策覆蓋麵和醫保報銷水平、建立大病保險和商業補充保險，是降低腫瘤患者經濟負擔的體製要求；藥品的閤理規範使用，是控製醫療費用增長的必經之路；同時彊化醫院管理，從縮短住院天數、開展閤理診療等方麵，終末耑減輕患者和社會的經濟負擔。
목적：분석인군중5충상견종류적주원비용분포정황병탐토기영향인소，위합리배치의료자원이급강저의료비용제공삼고의거。방법：이북경시ZL종류의원2008-2012년제일진단위결장암、직장암、간암、폐암、유선암적주원환자위연구대상。묘술성천술5충병충적비용분포、구성급기평균주원일정황，대영향주원비용적영향인소주다원축보회귀분석。결과：수집종류환자수거22995례，결과현시종류환자주원비용금액교대，약품비용시최주요구성；주원천수、시부수술、입원년빈、시부수차입원、시부의보，시주원비용적주요영향인소。결론：확대의보정책복개면화의보보소수평、건립대병보험화상업보충보험，시강저종류환자경제부담적체제요구；약품적합리규범사용，시공제의료비용증장적필경지로；동시강화의원관리，종축단주원천수、개전합리진료등방면，종말단감경환자화사회적경제부담。
To study the hospitalization expenses and its main influencing factors of 5 kinds of patients with common tumors, and provide references for the rational allocation of medical resources and the proper reduction of medical expenses. Methods:Patients with first diagnosis of colon cancer, rectal cancer liver cancer, lung cancer, and breast cancer in Beijing ZL Cancer Hospital from 2008 to 2012 were collected. The distribution, construction and average hospitalization stay were descriptively explained. The influencing factors of hospitalization expenses were involved in the multinomial linear regression analysis. Results: Collected data included 22 995 cases, and the hospitalization expenses of patients with cancer were high, medicine fees was the main proportion of all fees. The major influencing factors included length of stay, whether surgery, whether admitted for the first time, whether under medical insurance. Conclusion:Expanding the coverage of medical insurance policy and medical insurance reimbursement level and establishing critical illness insurance business supplement insurance were system requirements for cancer patients. The reasonable specified drug usage was the necessary way to control medical expenses. Strengthening hospital management, shortening hospitalization length and implementing reasonable health care were useful to reduce the economic burden of patients and the society.
