胃癌患者住院费用灰色关联分析  

Grey Correlation Analysis of Hospital Costs in Patients with Gastric Carcinoma

作　　者：雷海科[1] 周琦[1] 邱惠[1] 李小升[1] 何美[1] 张艳[1] 杜佳[1] 张维[1] 

机构地区：[1]重庆市肿瘤研究所,重庆400030

出　　处：《中国肿瘤》2016年第9期672-676,共5页China Cancer

基　　金：国家国际科技合作专项项目(2010DFB34180);重庆市卫计委面上项目(2015MSXM226)

摘　　要：[目的]了解2006-2011年重庆市某三甲医院胃癌患者住院费用的影响因素及发展态势,分析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2006-2011年中住院费用结构的变动情况。[结果]2006-2011年胃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（1.0000）,其次是手术费（0.7342）;药品费的结构变动度贡献率最大（41.51%）,其次是手术费（26.99%）,两者累计贡献率为68.50%。[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。[Purpose] To analyze the average costs of patients with gastric carcinoma and the trend of cost structure. [Methods] The hospital cost structure of gastric cancer patients admitted in a tertiary grade A hospital in Chongqing from 2006 to 2011 were analyzed with grey correlation method. The changing trend of hospital cost structure in 6 years was analyzed by degree of struc- ture variation. [ Results ] The items of hospital costs remained relatively stable in 6 years;drug cost had greatest relevancy（1.0000）,followed by operation fee（0.7342）. Drug cost took the lead in con- tribution to structural changes of hospital costs（41.51%） followed by operation fee（26.99%）,the cumulative contribution of these two items was 68.50%. [Conclusion] Drug cost is the major influ- encing factor for hospital costs, so reasonable control of drug cost and reduction of unnecessary fee can decrease patients＇ burden of hospital costs.

关 键 词：胃癌 平均住院费用 灰色关联分析 结构变动度 

分 类 号：R735.2[医药卫生—肿瘤] R197[医药卫生—临床医学]