以医保人群为基础的肿瘤登记方法研究  

Feasibility of Cancer Registration Based on Health Insurance System

作　　者：崔亚萍[1] 周守君[1,2] 黄汉明 武鸣[4] 朱星瑶 孙佳佩 王志刚 林海涛[1] 尹园[1] 丁晔[1] 唐琴 CUI Ya-ping;ZHOU Shou-jun;HUANG Han-ming;WU Ming;ZHU Xing-yao;SUN Jia-pei;WANG Zhi-gang;LIN Hai-tao;YIN Yuan;DING Ye;TANG Qin(Jiangsu Provincial Cancer Hospital,Jiangsu Institute of Cancer Research,The Affiliated Cancer Hospital of Nanjing Medical University,Nanjing 210009,China;Nanjing Medical University,Nanjing 210029,China;Nanjing Social Security Center,Nanjing 210017,China;Jiangsu Provincial Center for Disease Control and Prevention,Nanjing 210009,China)

机构地区：[1]江苏省肿瘤医院江苏省肿瘤防治研究所,南京医科大学附属肿瘤医院,江苏南京210009 [2]南京医科大学,江苏南京210029 [3]南京市社会保障中心,江苏南京210017 [4]江苏省疾病预防控制中心,江苏南京210009

出　　处：《中国肿瘤》2018年第8期584-588,共5页China Cancer

基　　金：江苏省预防医学科研课题(Y2013055)

摘　　要：[目的]探索以医保人群为基础的肿瘤登记的可行性和实施路径。[方法]理论研究与实地调查相结合：选择某市医疗保险信息系统,根据信息系统的数据结构、数据指标和特点,建立以医保人群为基础的肿瘤登记模型,据此提取肿瘤登记指标相关数据进行分析,获得肿瘤登记指标,分析优势与不足。[结果]通过以医保人群为基础的肿瘤登记模型的实施,获得了某市医疗保险人群2010~2014年恶性肿瘤疾病的发病比率、死亡率、生存年限和生存率、医药费用等肿瘤登记相关的流行病学指标与疾病负担数据。[结论]借助医疗保险信息系统,可建立和实施新的以医保人群为基础的肿瘤登记模式,弥补现有肿瘤登记工作的不足,且医保信息系统具有数据详细、可靠的特点,可获得医疗费用、住院时间等疾病负担数据。但是,需要加强政策方面的协调和支持。[Purpose] To explore the feasibility of cancer registration based on the medical insurance system. [Methods] According to the data structure,data index and characteristics of medical insurance information system in a city,a medical registration model based on the insured population was established,and the relevant data of the cancer registration were obtained and analyzed.[Results] Through the application of the medical registration model based on the medical insurance system,the data of cancer incidence,mortality,survival time and survival rate,medical expenses and disease burden were obtained in the city from 2010 to 2014.[Conclusion] It is feasible to establish a cancer registration model based on the medical insurance system. The data obtained from the model are detailed and reliable,and the disease burden data including medical expenses and duration of hospitalization also can be obtained,however,there is a need strong coordination and policy support.

关 键 词：医保人群 肿瘤 肿瘤登记 发病率 疾病负担 

分 类 号：R73-31[医药卫生—肿瘤]