大肠癌患者住院费用灰色关联分析  

Grey Correlation Analysis on the Hospitalization Costs of Patients with Colorectal Neoplasm

作　　者：李小升[1] 石菊芳[1] 雷海科[1] 黄慧瑶[1] 张维[1] 

机构地区：[1]重庆市肿瘤研究所,重庆市400030

出　　处：《中国病案》2016年第1期66-69,共4页Chinese Medical Record

基　　金：北京希望马拉松专项基金国家癌症中心阶段课题(LC2012YE44);重庆市卫计委面上项目(2015MSXM226)

摘　　要：目的了解2006年-2011年重庆市某三甲医院大肠癌患者住院费用的影响因素及发展态势,找出影响结构变动的主要费用项目及变动情况。方法运用新灰色关联分析法,对住院费用构成进行定量分析;采用灰色关联度分析6年中住院费用结构的变动情况。结果 6年来大肠癌患者的医疗费用各项目在总体顺位上保持相对稳定。药品费的关联度最大,为1.000,其次是手术费,达到0.8533;药品费的结构变动度贡献率最大,达到44.61%,其次是手术费的,有23.37%,合计为67.98%。结论药品费用是住院费用控制的主要影响因素。通过合理支配药品和降低不必要的费用可以减轻患者的住院费用负担。Objective To explore the influencing factors and changing trend of average hospitalization costs in patients with colorectal neoplasm in a Grade A Class-three hospital in Chongqing province from 2006 to 2011, and find out the main expense items that effected the cost structure as well as the variation situation. Methods Grey correlation analysis method was employed to make quantitative in the hospital cost structure. The changing trend of 6 year hospital cost structure was analyzed by degree of structure variation. Results In all items of the 6 year hospital costs remained relatively stable, drug cost and operation fee had greatest relevancy was 1.000 and 0.8533 respectively. Drug cost and operation fee took the lead in contribution to structural changes of hospital costs, was 44.61% and 23.37% respectively, which gave a cumulative contribution rate of 67.98%. Conclusions Drug cost is the major influencing factor for hospital costs controlling, reasonable control of drug cost and reduction of unnecessary fee could decrease the hospitalization costs burden of the patients.

关 键 词：平均住院费用 灰色关联分析 结构变动度 

分 类 号：R197.323[医药卫生—卫生事业管理] R735.34[医药卫生—公共卫生与预防医学]