2015年-2017年某三级综合医院恶性肿瘤住院患者费用的影响因素  

Influencing Factors of Hospitalization Expenses of Malignant Tumor in a Grade Three General Hospital from 2015 to 2017

作　　者：黄先涛[1] 靖超[1] 赵丽娟[1] 潘利民[1] 王晨宇[1] 薛军[1] 汤学勤 Huang Xiantao;Jing Chao;Zhao Lijuan;Pan Limin;Wang Chenyu;Xue Jun;Tang Xueqin(The First Affiliated Hospital of Hebei North University,Zhangjiakou 075000,Hebei Province,China;不详)

机构地区：[1]河北北方学院附属第一医院,河北省张家口市075000 [2]张家口市第五医院,河北省张家口市075000

出　　处：《中国病案》2021年第9期66-69,共4页Chinese Medical Record

基　　金：河北省财政厅老年病防治项目(361009);张家口市科技计划财政资助项目(1811032D-2)。

摘　　要：目的分析某三级综合医院2015年-2017年恶性肿瘤住院患者住院费用及相关影响因素。方法选取某三级综合医院2015年1月1日-2017年12月31日期间共收治的4538例恶性肿瘤住院患者为研究对象,统计恶性肿瘤患者住院费用情况。采用Logistic回归方程分析恶性肿瘤住院患者住院费用的影响因素。结果4538例患者中住院费用在性别、年龄、手术情况、付费方式、伴随症状、住院天数、入院情况、药占比以及肿瘤类型上均有差异。经Logistic分析,男性(OR=0.428,95%CI=0.2933~0.6058,P<0.05)、年龄≥50岁(OR=0.372,95%CI=0.0998~0.7994,P<0.05)、做手术(OR=0.443,95%CI=0.3019~0.5973,P<0.05)、医保付费(OR=0.582,95%CI=0.2493~0.6499,P<0.05)、伴随1个及以上症状(OR=0.628,95%CI=0.2119~0.6872,P<0.05)、住院天数30天~60天(OR=0.418,95%CI=0.3976~0.5323,P<0.05)、入院情况急危(OR=0.459,95%CI=0.4326~0.6091,P<0.05)、药占比较高(OR=0.446,95%CI=0.3498~0.7203,P<0.05)、神经系统肿瘤(OR=0.542,95%CI=0.3468~0.5831,P<0.05)是住院费用较高的危险因素。结论恶性肿瘤患者住院费用受到多种因素影响,有效降低药占比,缩短住院天数等可有效减少恶性肿瘤患者的住院费用,减少患者经济负担。Objectives To analyze the hospitalization expenses of malignant tumor patients in a grade three general hospital from 2015 to 2017 and the related influencing factors.Methods A total of 4538 hospitalized patients with malignant tumor admitted to a grade three general hospital from January 2015 to December 2017 were selected as the research objects,and the hospitalization expenses of malignant tumors was counted.Logistic regression equation was used to analyze the influencing factors of hospitalization expenses of malignant tumor.Results Among the 4538 patients,the patients with lower and higher hospitalization expenses accounted for 53.50% and 46.50%.There were significant differences between patients with lower and higher hospitalization expenses in gender,age,operation situation,payment method,concomitant symptoms,hospitalization days,hospitalization situation,drug proportion and tumor type.By logistic analysis,men(OR=0.428,95%CI=0.2933~0.6058,P<0.05),age above 50 years(OR=0.372,95%CI=0.0998~0.7994,P<0.05),operation(OR=0.443,95%CI=0.3019~0.5973,P<0.05),medical insurance payment(OR=0.582,95%CI=0.2493~0.6499,P<0.05),with one or more symptoms(OR=0.628,95%CI=0.2119~0.6872,P<0.05),hospitalization days 30-60 days(OR=0.418,95%CI=0.3976~0.5323,P<0.05),admission to hospital in critical condition(OR=0.459,95%CI=0.4326~0.6091,P<0.05),relatively high drug proportion(OR=0.446,95%CI=0.3498~0.7203,P<0.05),nervous system tumor(OR=0.542,95%CI=0.3468~0.5831,P<0.05)were the risk factors of high hospitalization cost.Conclusions The hospitalization expenses of patients with malignant tumor were affected by many factors.Effectively reducing the proportion of drugs and shortening the length of stay could effectively reduce the hospitalization expenses of patients with malignant tumor and reduce the economic burden of patients.

关 键 词：恶性肿瘤 住院患者 住院费用 影响因素 三级综合医院 

分 类 号：R197.3[医药卫生—卫生事业管理]