山西省某三甲医院子宫颈癌患者10年住院费用分析  

Analysis of inpatient cost of cervical cancer patients in a comprehensive hospital in Shanxi:10-year experience

作　　者：何微[1] 冯向先[2] 潘雄飞[3] 

机构地区：[1]山西医科大学,山西太原030000 [2]长治医学院预防医学教研室 [3]四川大学华西公共卫生学院(华西第四医院)

出　　处：《现代预防医学》2013年第21期3980-3983,共4页Modern Preventive Medicine

摘　　要：目的 探讨子宫颈癌患者的住院费用及其影响因素,为控制医疗费用的不合理增长,完善医疗保健制度和子宫颈癌防治策略提供依据.方法 收集山西省某三级甲等综合医院2002～2011年间子宫颈癌患者的总费用及构成,并分析影响子宫颈癌患者住院费用的因素.结果 共收集病例949名,年龄在22～75岁之间,平均年龄为48.9±8.7岁,70％以上的患者为农民.66％的患者为自费医疗,子宫颈癌患者平均住院天数（中位数）12d,人均住院费用为7992.2±2718.8元,10年间住院费用呈不断增长趋势,平均年增率为6.7％.子宫颈癌住院费用的影响因素为：年龄（P=0.0l5）、职业（P＜ 0.001）、入院情况（P=0.002）、病理诊断（P＜0.001）、有无合并症（P＜0.001）、住院天数（P＜ 0.001）、药品比例（P＜ 0.001）、治疗效果（P＜ 0.001）、支付方式（P＜ 0.001）.结论 我国子宫颈癌治疗费用仍处于较高水平,在保证医疗质量的前提下,加强药品管理和缩短住院日是降低子宫颈癌住院费用有效可行的手段.OBJECTIVE To explore the influence factors for inpatient cost of cervical cancer to provide a scientific basis for controlling unreasonable growth of hospital expense and improve the health care system. METHODS Inpatient data of cervical cancer patients were retrieved from a comprehensive hospital in Shanxi Province between August, 2002 and December, 2011. They were analyzed descriptively for their composition and trend in the ten-year period. Potential influence factors were sought for through the analysis of variance. RESULTS A total of 949 cervical cancer patients stayed in the hospital during the ten years. They had an average age of （48.9 ±8.70） years old. The mean hospital stay was 12 days. The inpatient expense was （7 992.2 ± 2 718.8） Yuan per case. An increasing trend was noticed at an average annual growth of 6.7%. Drug expense accounted for the most among the inpatient expense. The main influence factors for the expense were age （P = 0.015）, occupation （P 〈 0.001 ）, medical condition prior to hospitalization （P = 0.002）, pathology diagnosis （P 〈 0.001）, secondary diagnosis （P 〈 0.001）, hospital stay （P 〈 0.001）, the proportion of drug expense （P 〈 0.001 ）, and effectiveness prior to hospital discharge （P 〈 0.001）, and payment mechanism （P 〈 0.001）. CONCLUSION To reduce the inpatient expense of cervical cancer, it is essential to decrease the drug expense and hospital stay without sacrificing the treatment effectiveness.

关 键 词：子宫颈癌 住院费用 分析 影响因素 

分 类 号：R195[医药卫生—卫生统计学]