北京市2434例胃部恶性肿瘤患者住院费用及其影响因素分析  

Inpatient Costs of 2,434 Gastric Cancer Patients in Beijing and Its Influencing Factors

作　　者：热娜·阿希木 满晓玮[1] 何威澎 于哲 高雅 陈姝婧 程薇[1] Rena Aximu;Man Xiaowei;He Weipeng;Yu Zhe;Gao Ya;Chen Shujing;Cheng Wei(School of Management,Beijing University of Chinese Medicine,Beijing 100029,China)

机构地区：[1]北京中医药大学管理学院,北京100029

出　　处：《肿瘤预防与治疗》2020年第8期672-678,共7页Journal of Cancer Control And Treatment

基　　金：北京中医药大学重点学科“中医药管理学”(编号:2013-ZDXKKF-17);北京市卫生健康委员会课题。

摘　　要：目的:研究胃部恶性肿瘤患者住院费用情况及其主要影响因素,为合理控制住院费用提供参考依据。方法:选取2017年北京市经常性卫生费用核算数据库中,出院诊断为胃癌(ICD-10,编码为C16)的住院患者有效病例2434例,采用单因素方差分析、多元逐步回归等方法判断影响住院费用的主要因素。结果:不同年龄段、住院天数、支付方式、医院类型、医院级别和住院费用之间有统计学意义(P<0.05),住院费用的影响因素由大到小依次为:住院天数、医院类型、支付方式、医院级别。结论:严格控制药品及耗材使用,合理缩短住院天数,积极开展癌症的三级预防工作,能够有效控制胃部恶性肿瘤患者住院费用。Objective:To study the inpatient costs of gastric cancer and its main influencing factors,and provide reference for reasonable control of the costs.Methods:A total of 2,434 valid cases of inpatients with gastric cancer(ICD-10,Code:C16)from 2017 Beijing Recurrent Health Expenditure Database were selected.One-way analysis of variance and multiple stepwise regression were used to determine the main influencing factors of the costs of the patients.Results:Inpatient costs were significantly different among different age groups,length of stay,payment methods,hospital type,hospital levels(P<0.05).Influencing factors of the costs were length of stay,hospital type,payment method and hospital level in descending order.Conclusion:Strictly controlling the use of medicines and consumables,reasonably shortening length of stay,and actively conducting tertiary prevention of cancer can effectively control inpatient costs of gastric cancer patients.

关 键 词：胃部恶性肿瘤 住院费用 影响因素 

分 类 号：R735.2[医药卫生—肿瘤]