5215例医保恶性肿瘤患者住院费用构成分析及建议  

Suggestions and Analysis of Factors Influencing Hospitalization Costs of 5 215 Malignant Patients

作　　者：褚晓静[1] 陈玉强[1] 李愉[1] 戴云洁[1] 

机构地区：[1]解放军第174医院,福建厦门361003

出　　处：《中国卫生质量管理》2012年第1期30-32,共3页Chinese Health Quality Management

基　　金：南京军区医学科技创新基金(10MA001)

摘　　要：目的了解肿瘤患者住院费用构成,为合理控制医疗费用过快增长提供依据。方法选取2007～2010年医保恶性肿瘤患者出院病历5 215份,将患者一般情况、平均住院日、住院费用等录入Excel表格,采用SPSS13.0软件进行数据统计与分析。结果 2007～2010年恶性肿瘤患者逐年增加;随着年份增加,平均住院日减少,但次均住院费用增加;药品费用是住院费用的主要来源(49.88%),其次是治疗费(含材料费)(30.83%)。结论相关部门应采取综合措施以控制肿瘤患者医疗费用过快增长,如强化医务人员医保意识、建立健全监督机制、强化病种费用管理、加强预防保健等。Objective To investigate the costs constitute in tumor hospital for the reasonable cost control. Method Between 2007 and 2010, medical records of 5215 cancer patients with medical insurance were recruited. The general condition of patients, the average length of stay, hospital costs and other data were input in Excel spreadsheet for statistical analysis using SPSS13.0 for windows. Result Between 2007 to 2010, cancer patients increased every year; the average length of stay declined, but the average cost increased. The drug cost was a major source of hospital cost （49.88%） , followed by treatment cost （including materi- als） （30.83% }. Conclusion The relevant departments should take comprehensive measures to control the excessive growth of medical cost in cancer patients, to enhanced awareness of health insurance among medical staff, establish and improve the supervision mechanism and strengthen cost management of single disease, and strengthen preventive health care.

关 键 词：肿瘤 住院费用 影响因素 患者 

分 类 号：R-05[医药卫生]