基于面板分位数回归的甲状腺癌患者住院费用影响因素探析  

Exploration of factors influencing hospitalization cost of thyroid cancer patients based on panel quantile regression

作　　者：查清[1] 汪卓赟[2] ZHA Qing;WANG Zhuoyun(Department of Nuclear Medicine,Anqing Hospital of the Chinese People's Liberation Army Navy,Anqing 246001,China;Department of Tendering and Procurement Office,the Second Affiliated Hospital of Anhui Medical University,Hefei 230601,China)

机构地区：[1]中国人民解放军海军安庆医院核医学科,安徽安庆246001 [2]安徽医科大学第二附属医院招标采购管理办公室,安徽合肥230601

出　　处：《安徽医学》2023年第9期1125-1129,共5页Anhui Medical Journal

基　　金：安徽省医学会卫生健康软科学研究项目(编号:2020WR02017)。

摘　　要：目的分析甲状腺癌患者住院费用影响因素,为医院合理控制甲状腺癌患者住院费用,降低患者疾病经济负担提供依据。方法收集2018年1月1日至2022年12月31日中国人民解放军海军安庆医院收治的共1464例甲状腺癌患者住院费用信息,采用分位数回归模型,以住院费用的不同分位数为基准,划分为低、中、高分位组,分析患者在3个分位组住院费用影响因素。结果1464例甲状腺癌患者人均住院费用为11949.38元。分位数回归模型显示是否手术、淋巴结转移和住院天数在3个分位组均正向影响(β>0)住院费用;年龄、性别负向影响(β<0)低分位组住院费用;患者为首次入院负向影响(β<0)中高分位组住院费用。结论甲状腺癌患者住院疾病经济负担较高,需从费用结构、住院时长和临床路径等途径切入,进一步降低住院费用。Objective To analyze the influencing factors of hospitalization expenses for thyroid cancer patients,and provide a basis for hospitals to reasonably control the hospitalization expenses of thyroid cancer patients and reduce their economic burden of disease.Methods A total of 1464 thyroid cancer patients'hospitalization expenses were collected from a hospital in Anhui Province from January 1,2018 to December 31,2022.Using the Quantile regression model,the hospital expenses were divided into low,medium and high quantile groups based on different Quantile of hospitalization expenses,and the factors affecting the hospitalization expenses of patients in the three quantile groups were analyzed.Results The average hospitalization cost for 1464 thyroid cancer patients was 11949.38 yuan.The Quantile regression model showed that whether surgery,lymph node metastasis and hospital stay all had positive impact on hospitalization expenses of the three quantile groups(β>0).Age and gender had negative effects on hospitalization expenses of low percentile group(β<0).First admission for patients had negative impact on hospitalization expenses for the middle and high percentile groups(β<0).Conclusions The economic burden of hospitalization for thyroid cancer patients is relatively high and it is necessary to further reduce hospitalization costs through approaches such as cost structure,length of hospitalization,and clinical pathway.

关 键 词：甲状腺癌 住院费用 分位数回归 

分 类 号：R736.1[医药卫生—肿瘤] R197.3[医药卫生—临床医学]