安徽某地肝癌患者次均住院费用影响因素分析  

Influencing Factors of Inpatients with Primary Liver Cancer in Anhui Province

作　　者：许静[1] 王伟[1] 胡冰[1] 

机构地区：[1]安徽省立医院肿瘤内科,合肥230001

出　　处：《肝胆外科杂志》2017年第5期361-363,共3页Journal of Hepatobiliary Surgery

摘　　要：目的探讨原发性肝癌次均住院费用的影响因素,为合理控制医疗费用提供参考。方法调查安徽某三甲综合性医院2010年至2015年原发性肝癌住院患者4312例次,采用描述性分析、单因素分析和多元回归分析来探讨影响原发性肝癌患者住院费用的主要因素。结果住院天数和是否手术是影响次均住院费用的主要影响因素,不同年龄组,不同出院年份,不同付费方式对次均住院费用均有影响。结论政府、医疗机构和医疗保险机构应协同努力,采取综合措拖,有效控制患者住院费用的过快增长。通过加强管理,从降低住院天数、规范合理用药和改变支付方式等方面,减轻患者和社会的经济负担。Objective To explore the main influencing factors of the hospitalization expense of primary liver cancer patients and provide the theoretic evidences for the reasonable control of the rapid increase of medical expense. Method We investigated the4312 liver cancer patients from 2010 to 2015 in Anhui Province,and analyzed the Influencing factors of the hospitalization expense by descriptive analysis,single factor analysis and multiple regression analysis. Results Hospital stay and surgery are the critical influencing factor which can directly effect on the hospitalization expense. Age group,year and the expense payment forms influenced the hospitalization expense indirectly. Conclusion Comprehensive measures should be taken to control the growth of patients＇ hospitalization expense by government,medical institution and medical insurance organizations together. We could ultimately reduce the hospital costs of patients with liver cancer as well as the the economic burden of patients and society,by strengthening hospital management,shortening hospital stay,and rationally regulating drug use.

关 键 词：原发性肝癌 次均住院费用 影响因素 

分 类 号：R735.7[医药卫生—肿瘤]