CAJ | 학술논문

目的了解老年癌症患者住院费用构成及影响因素,为控制医疗费用上涨提出建议.方法收集2007-2011年4种常见老年癌症病例1101例,采用描述性分析、单因素分析和多元线性回归分析等方法分析老年癌症患者的住院费用及其影响因素.结果老年癌症患者住院费用逐年上升,影响住院费用的主要因素是住院天数、特级护理、输血情况、抢救情况、手术情况、患者来源、癌症种类、付费方式.结论实施临床路径管理,优化医院内部流程,缩短平均住院日;完善医疗保障制度,实行按病种限价付费,降低医疗费用.
목적료해노년암증환자주원비용구성급영향인소,위공제의료비용상창제출건의.방법수집2007-2011년4충상견노년암증병례1101례,채용묘술성분석、단인소분석화다원선성회귀분석등방법분석노년암증환자적주원비용급기영향인소.결과노년암증환자주원비용축년상승,영향주원비용적주요인소시주원천수、특급호리、수혈정황、창구정황、수술정황、환자래원、암증충류、부비방식.결론실시림상로경관리,우화의원내부류정,축단평균주원일;완선의료보장제도,실행안병충한개부비,강저의료비용.
Objective To investigate the composition and influential factors of hospitalization costs of old aged cancer patients in order to give suggestions on controlling medical costs .Methods 1101 medical records of old aged cancer patients were collected from our hospital from 2007 to 2011 ,analyzing the changing trends of hospitalization cost and influencial factors with descriptive analysis , single-factor test and multiple linear regressions .Results There shows an annual increase on hospitalization cost in treating old aged cancer patients .Many factors ,such as length of stay ,special nursing care ,blood transfusion ,surgical situation ,source of patients , types of cancer ,payment methods all can play important roles in affecting hospitalization costs .Conclusion It was suggested to short -en average hospitalization days through implementing clinical pathway management and optimizing hospital internal workflow .To re-duce medical costs we should improve healthcare insurance system and develop efficient payment mechanism ,such as limited price payment according to the disease categories .