医学信息
醫學信息
의학신식
Medical Information
2015年
43期
131-132
,共2页
肺癌%住院费用%经济负担
肺癌%住院費用%經濟負擔
폐암%주원비용%경제부담
Lung cancer%Hospitalization cost%Economic burden
目的对某肿瘤专科医院2011~2013年肺癌患者住院费用结构和变化趋势进行分析,为控制该疾病的住院费用提供科学依据,从而减轻患者负担。方法收集浙江省肿瘤医院2011~2013年住院肺癌患者的病案资料,对住院费用基本情况、构成情况、人均费用、日均费用进行描述性统计分析。结果共收集2011~2013年肺癌患者资料32201例,人均住院费用2012年同比增长7.05%,2013年同比增长7.82%,日均住院费用2012年同比增长8.49%,2013年同比增长8.64%,2013年全部肺癌患者住院总费用构成中,西药费所占比例最高(55.80%),自付金额占58.90%。手术患者人均费用为41421.85元,其中手术用材料费和西药费分别占32.72%和24.65%,自付金额占69.93%。化疗患者住院费用中,西药费占73.70%,自付金额占53.99%。结论肺癌患者经济负担呈现增长趋势,西药费是重要因素。应加强药品管理力度,合理用药；进一步深化医疗改革,降低恶性肿瘤费用的自费比例,减轻患者经济负担。
目的對某腫瘤專科醫院2011~2013年肺癌患者住院費用結構和變化趨勢進行分析,為控製該疾病的住院費用提供科學依據,從而減輕患者負擔。方法收集浙江省腫瘤醫院2011~2013年住院肺癌患者的病案資料,對住院費用基本情況、構成情況、人均費用、日均費用進行描述性統計分析。結果共收集2011~2013年肺癌患者資料32201例,人均住院費用2012年同比增長7.05%,2013年同比增長7.82%,日均住院費用2012年同比增長8.49%,2013年同比增長8.64%,2013年全部肺癌患者住院總費用構成中,西藥費所佔比例最高(55.80%),自付金額佔58.90%。手術患者人均費用為41421.85元,其中手術用材料費和西藥費分彆佔32.72%和24.65%,自付金額佔69.93%。化療患者住院費用中,西藥費佔73.70%,自付金額佔53.99%。結論肺癌患者經濟負擔呈現增長趨勢,西藥費是重要因素。應加彊藥品管理力度,閤理用藥；進一步深化醫療改革,降低噁性腫瘤費用的自費比例,減輕患者經濟負擔。
목적대모종류전과의원2011~2013년폐암환자주원비용결구화변화추세진행분석,위공제해질병적주원비용제공과학의거,종이감경환자부담。방법수집절강성종류의원2011~2013년주원폐암환자적병안자료,대주원비용기본정황、구성정황、인균비용、일균비용진행묘술성통계분석。결과공수집2011~2013년폐암환자자료32201례,인균주원비용2012년동비증장7.05%,2013년동비증장7.82%,일균주원비용2012년동비증장8.49%,2013년동비증장8.64%,2013년전부폐암환자주원총비용구성중,서약비소점비례최고(55.80%),자부금액점58.90%。수술환자인균비용위41421.85원,기중수술용재료비화서약비분별점32.72%화24.65%,자부금액점69.93%。화료환자주원비용중,서약비점73.70%,자부금액점53.99%。결론폐암환자경제부담정현증장추세,서약비시중요인소。응가강약품관리력도,합리용약；진일보심화의료개혁,강저악성종류비용적자비비례,감경환자경제부담。
Objective To analyze the status and trend of hospitalization cost caused by lung cancer in a cancer hospital from 2011 to 2013,and to provide evidence for control ing hospitalization cost, thus reduce the economic burden. Methods The data of Hospitalization cost was col ected from the medical history of Zhejiang Cancer Hospital, to conduct a descriptive statistical analysis of the basic situation of hospitalization cost, the proportions, the per capita cost and the average daily cost. Results A total of 32201 cases were col ected. The results of statistical analysis showed that,per capita hospitalization cost in 2012 increased by 7.05%and 7.82%in 2013.Daily hospitalization cost in 2012 increased by 8.49%and 8.64%in 2013.Cost of medicine accounted for the biggest proportion of 55.80% in al patients of 2013.Self payment part accounted for 58.90%. The per capita expenses of surgical patients was 41421.85 Yuan, of which the cost of surgical materials and medicine were 32.72% and 24.65% respectively, and the amount of the self payment part was 69.93%. The cost of medicine accounted for 73.70% of hospitalized patients with chemotherapy,self payment amount accounted for 53.99%. Conclusion The economic burden is increasingly heavy. Medicine is the most important factor. To reduce the financial burden on patients, drug management should be strengthened to rational y regulate drug use. Health care reform should be further deepened to reduce the proportion of cancer costs at their own expense.
