肺部恶性肿瘤手术患者住院费用分析  

Analysis on Hospitalization Costs of Patients with Lung Cancer Surgery

作　　者：王盟 潘常青[1] 许岩 汪刚[1] 刘珏 Wang Meng;Pan Changqing;Xu Yan;Wang Gang;Liu Yu(Shanghai Chest Hospital,Shanghai 200030,China)

机构地区：[1]上海市胸科医院,上海市200030

出　　处：《中国病案》2023年第6期79-82,共4页Chinese Medical Record

基　　金：上海市医院协会医院管理研究基金(Q2020068)。

摘　　要：目的 了解肺部恶性肿瘤手术患者住院次均费用的结构变化及相关原因,并提出相应的政策建议。方法 采用新灰色关联分析及结构变动度分析对上海市某三级胸科专科医院2015年1月1日-2021年12月31日72 254例肺部恶性肿瘤手术患者住院次均费用进行研究,包括药费,耗材费,检查检验费和医疗服务费共4类次均费用,探讨各次均费用与住院次均费用的关联度及结构变化情况。结果 2015-2021年肺部恶性肿瘤手术患者住院次均费用由62 899.17元下降至62 400.95元,降幅为0.73%;其中医疗服务费增长8.90%,检查检验费增长138.10%,耗材费下降10.84%,药费下降53.39%。新灰色关联分析结果显示,各项次均费用的关联度从大到小依次为耗材费(γ2=1.0000),医疗服务费(γ4=0.8348),检查检验费(γ3=0.7625),药费(γ1=0.7435)。结构变动度分析结果显示,2015-2021年各项次均费用的结构变动贡献率从大到小依次为检查检验费(CSV3=42.67%)、药费(CSV1=33.58%)、耗材费(CSV2=16.42%)、医疗服务费(CSV4=7.33%)。其中药费和耗材费呈负向变动。结论 次均耗材费是影响肺部恶性肿瘤手术患者住院次均费用的主要因素,次均医疗服务费占比其次,次均检查检验费增长较快。Objectives To understand the structural changes and related reasons of average cost of hospitalization of lung cancer,and propound related policy suggestion.Methods New grey correlation and degree of structural variation analysis were used to research the average cost of hospitalization of 72254 patients with lung cancer underwent surgery in a tertiary Chest Hospital in Shanghai from January 1st,2015 to December 31st,2021,The average cost included 4 categories,i.e.medicine cost,material cost examination and laboratory cost,medical service cost,The relational degree and structural changes between each average cost and the average cost of hospitalization were discussed.Results From 2015 to 2021,the average hospitalization cost of patients with lung malignant tumors decreased from 62899.17 yuan to 62400.95 yuan,a decrease of 0.73%;Among them,the average medical service cost increased by 8.90%,the average examination and laboratory cost increased by 138.10%,the average material cost decreased by 10.84%,and the average medicine cost decreased by 53.39%.The new grey correlation analysis showed that the relational degree sort order of each average cost from the highest to the lowest were average material cost(γ2=1.0000),average medical service cost(γ4=0.8348),average examination and laboratory cost(γ3=0.7625),average medicine cost(γ1=0.7435).The degree of structure variation analysis showed that the contribution rate of structure variation(CSV)sort order of each average cost in 2015-2021 from the highest to the lowest were average examination and laboratory cost(CSV3=42.67%),average medicine cost (CSV1=33.58%), average material cost (CSV2=16.42%), average medical servicecost (CSV4=7.33%). The average medicine cost and average material cost were negative variation.Conclusions Theaverage material cost was the main factors that influenced the average cost of hospitalization of lung cancer, and theaverage cost of medical services accounted for the second place. The average examination and laboratory costincreased rapidl

关 键 词：新灰色关联分析 结构变动度 肺部恶性肿瘤 次均费用 

分 类 号：R734.2[医药卫生—肿瘤] R197.3[医药卫生—临床医学]