2015年某院肿瘤化疗住院患者疾病构成和费用分析  

Analysis on the Disease Composition and Cost of Tumor Patients with Chemotherapy of a Hospital in 2015

作　　者：李潇[1] 方一清[1] 王敏[2] 张卫东[1] 

机构地区：[1]新疆克拉玛依市中心医院药学部,克拉玛依市834000 [2]新疆克拉玛依市中心医院信息科病案统计室,克拉玛依市834000

出　　处：《中国病案》2017年第9期63-66,共4页Chinese Medical Record

基　　金：新疆科技援疆项目(201591161)

摘　　要：目的回顾性调查某院2015年肿瘤化疗住院患者疾病构成和费用情况,为进一步循证药学研究提供基线数据。方法通过医院信息系统提取2015年肿瘤化疗住院患者资料,按国际疾病分类ICD-10标准进行疾病分类。主要采用频数、占比和构成比描述统计指标,采用Excel软件进行数据整理和分析。结果 2015年医院肿瘤化疗住院患者总计748人次,排名前10位肿瘤化疗患者为678人次。其中排名前三的肿瘤依次是结/直肠癌、乳腺癌和肺癌。肝癌、淋巴瘤化疗患者少数民族构成比超过市人口民族比,少数民族乳腺癌、胃癌、淋巴瘤和肝癌化疗患者构成比高于汉族。人均西药费、人均中成药费综合排名前3位依次是多发性骨髓瘤、肺癌和卵巢癌。用药品种数超过16种以上构成比排名前3位依次是肺癌、多发性骨髓瘤和胃癌。结论基于调查结果,对于肿瘤疾病负担重,合并用药较多的肺癌可能存在用药问题,其合理性的评价、分析、干预将作为下一步循证药学研究的重点。Objectives To conduct a retrospective review of the diseases constitution and the costs of the tumor inpatients with chemotherapy in Karamay Central Hospital in 2015, so as to conduct to provide baseline data for the further evidence-based pharmacy study. Methods The inpatients＇ information in 2015 was collected from the hospital information system （HIS）, and the diseases were classified according to the international classification standard of diseases （ICD-IO） based on the first discharge diagnosis. These statistical indicators were mainly described using frequency and composition ratio. Data rearrangement and analysis were carried out by Excel software. Results A total of 748 patients were admitted to our hospital for cancer chemotherapy in 2015. The amount of patients with top ten cancers was 678. The top three tumors were colorectal cancer, breast cancer and lung cancer in turn. The national minority proportion of chemotherapy patients with liver cancer and lymphoma was higher than that of population, and the constitution of breast cancer, gastric cancer, lymphoma and liver cancer in the ethnic minorities was higher than that of the Han nationality. The top three costs in terms of per capita medical expenses and per capita Chinese patent medicine were spent on multiple myeloma, lung cancer and ovarian cancer successively. The top three tumors using more than 16 species of drugs were lung cancer, multiple myeloma and gastric cancer. Conclusions Based on the survey results the lung cancer patients may have medication problems due to the heavy disease burden combined with more drugs use. The rationality of the evaluation, analysis and intervention would be the focus of further evidence-based pharmacy research.

关 键 词：住院患者 恶性肿瘤化疗 疾病构成 费用 循证药学 

分 类 号：R197.323[医药卫生—卫生事业管理]