肿瘤专科医院肺癌住院费用及相关因素的回顾调查分析  

A Retrospective Survey and Analysis of Hospitalization Expenses and Related Factors of Lung Cancer in Cancer Hospitals

作　　者：周彩虹[1] 张力建[2] 熊洪超[2] 牟巨伟[1] 杨剑[1] 王艾[1] 

机构地区：[1]中国医学科学院肿瘤医院肿瘤研究所,北京100021 [2]北京市肿瘤医院肿瘤研究所,北京100142

出　　处：《中国医院管理》2010年第7期37-40,共4页Chinese Hospital Management

基　　金：首都医学发展科研基金项目(2005-1041)

摘　　要：目的回顾调查了解影响肺癌住院费用的主要因素,为有效控制医疗费用的不合理增长提供政策依据。方法抽样调查住院接受手术治疗的肺癌病例190例,对2家医院住院费用、患者年龄、性别、付费方式、住院次数、入院合并症、术后抗生素使用、抢救、转归、分期、手术时间、术前住院天数以及住院天数等可能影响住院费用的因素进行t检验、方差分析和多元逐步回归分析。结果 2家医院间自费患者、住院次数、手术时间、术前住院天数和住院天数间存在显著性差异,而影响住院费用的因素主要有病例来源、术前住院天数、住院次数和住院天数。住院费用中西药费的比例偏大,而体现手术技术含量的项目收费偏低。结论完善医疗保险制度,积极实施临床路径,健全早诊早治机制,是有效控制住院费用的重要措施。Objective To explore retrospectively the main factors influencing the hospitalization expenses of lung cancer so as to provide policy suggestions for the control of irrational increase of medical expenses. Methods The data of lung cancer （190 inpatients were selected at random） were collected.T text,ANOVA and multiple stepwise regression analysis were used to screen age, sex, type of payment, number of admissions, complications, antibiotics used postoperation, savage, condition of leaving hospital, stage, operating time, days of preoperation , hospital stay and so on,to identify the major factors influencing the hospitalization expenses.

关 键 词：住院费用 影响因素 肺癌 调查分析 

分 类 号：R195[医药卫生—卫生统计学]