北京市基本医保结直肠癌3046例住院费用影响因素分析  

Influencing Factor Analysis on Hospitalization Costs of 3046 Cases with Colorectal Cancer on Basic Medical Insurance in Beijing

作　　者：贾小强[1] 徐仁忠 郑杰 易丹辉[3] 李秋燕[1] 杨怀中[1] 张嘉瑶[3] 张萌萌 杨宇飞[1] 

机构地区：[1]中国中医科学院西苑医院,北京100091 [2]北京市医保中心,北京100050 [3]中国人民大学统计学院,北京100872

出　　处：《世界科学技术-中医药现代化》2011年第6期948-951,共4页Modernization of Traditional Chinese Medicine and Materia Medica-World Science and Technology

基　　金：北京市中医管理局科技加强中医药在首都公共卫生体系建设中作用的发挥(SF-2007-I-05):基于信息协作平台的结直肠癌中西医结合三级防治体系研究;负责人:杨宇飞

摘　　要：目的:探讨结直肠癌病人住院费用的影响因素,探寻中医医院绩效特征及影响费用的因素分布规律,提出降低医疗费用的有效途径。方法:回顾性分析2008年北京市基本医保结直肠癌住院病例共3046例数据,调查其住院期间医疗质量与费用的有关因素,采用一元与多元分析,研讨各种因素与住院费用之间的关系。结果:影响住院费用的主要因素是:住院占床日、医院类型、出院主要治疗结果、医院等级、有无手术、合并心脑疾病诊断等。结论:提高中医药应用比例、缩短住院床日、提高诊疗水平与服务质量,可以明显降低住院费用。The hospitalization cost of patients with colorectal cancer were studied to reveal influencing factors in order to explore traditional Chinese medicine（TCM） hospital performance characteristics,distribution law of factors affecting costs,and proposal of reducing medical costs.Retrospective analysis was conducted on the data of 3046 cases with colorectal cancer on basic medical insurance in Beijing in 2008.Factors of medical quality and costs were investigated by single and multivariate analysis.The relation of different factors and hospitalization cost was discussed.The results showed that major factors of influencing hospitalization costs were hospitalization days,hospital category,main diagnosis,hospital rank,operation or not,combination with cardiocerebral diseases,and etc.It is concluded that hospitalization costs can be reduced by promoting applied rate of TCM,shortening hospitalization duration,promoting level of diagnosis and treatment,and service quality.

关 键 词：结直肠癌 费用 基本医保 

分 类 号：R735.37[医药卫生—肿瘤]