Analysis of the effect of medical insurance on cancer inpatients: A 10-year retrospective study on a large hospital in Northeast China  

作　　者：Zhendong Zheng Lu Wang Quanwei Fu Tao Han Xiaodong Xie 

机构地区：[1]Department of Medical Oncology, The General Hospital of Shenyang Military Region [2]Department of Medical Insurance, The General Hospital of Shenyang Military Region

出　　处：《Oncology and Translational Medicine》2015年第6期284-288,共5页肿瘤学与转化医学（英文版）

基　　金：Supported by a grant from the Science and Technology Key Programs of Liaoning Province(No.2013225220)

摘　　要：Objective The aim of the study was to analyze hospital costs for cancer inpatients availing different methods of payment and the influencing factors, to provide inputs to improve the medical insurance payment policy. Methods We analyzed the information related to length of hospital stay, hospitalization cost, and self-pay cost, collected from one large-scale, Grade A, Class Three hospital in Shenyang, China, during 2004–2013.Results The number of cancer inpatients with different payment types(medical insurance group and non-medical insurance group) presented a rising trend. Further, the ratio of medical insurance inpatients increased rapidly(from 22.2% to 48.7%); however, this group was still a minority. The length of hospital stay became shorter(21 d vs. 17 d; P = 0.000) while the gap got narrower; the hospitalized expense showed an upward trend and the difference was remarkable($24048.6 ± $4376.28 vs. $20544.36 ± $4057.01; P = 0.000). Conclusion Along with normalization of cancer therapy, the influence of payment on treatment has been getting weak, the policy has impact on controlling hospitalization cost, lightening burden of cancer patient, as well as allocating medical resources in a reasonable way, becoming an important defray pattern of hospitalization cost.Objective The aim of the study was to analyze hospital costs for cancer inpatients availing different methods of payment and the influencing factors, to provide inputs to improve the medical insurance payment policy. Methods We analyzed the information related to length of hospital stay, hospitalization cost, and self-pay cost, collected from one large-scale, Grade A, Class Three hospital in Shenyang, China, during 2004- 2013. Results The number of cancer inpatients with different payment types （medical insurance group and non-medical insurance group） presented a rising trend. Further, the ratio of medical insurance inpatients increased rapidly （from 22.2% to 48.7%）; however, this group was still a minority. The length of hospital stay became shorter （21 d vs. 17 d; P = 0.000） while the gap got narrower; the hospitalized expense showed an upward trend and the difference was remarkable （￥24048.6 ＋ ￥4376.28 vs. ￥20544.36 ＋ ￥4057.01; P = 0.000）. Conclusion Along with normalization of cancer therapy, the influence of payment on treatment has been getting weak, the policy has impact on controlling hospitalization cost, lightening burden of cancer patient, as well as allocating medical resources in a reasonable way, becoming an important defray pattern of hospitalization cost.

关 键 词：medical insurance cancer inpatients retrospective study 

分 类 号：R73-31[医药卫生—肿瘤] R197.1[医药卫生—临床医学]