消化系统恶性肿瘤患者住院费用结构变动度分析  

Variation of hospitalization cost structure of patients with malignant tumors of digestive system

作　　者：孙李丽 郭玲利 仲春雪 杨淑梅[1] 毛英 Sun Lili;Guo Lingli;Zhong Chunxue;Yang Shumei;Mao Ying(The Fifth Affiliated Hospital of Xinjiang Medical University,Urumqi 830011,China)

机构地区：[1]新疆医科大学第五附属医院病案统计科,新疆乌鲁木齐830011

出　　处：《中国医院统计》2023年第6期452-456,共5页Chinese Journal of Hospital Statistics

基　　金：省部共建中亚高发病成因与防治国家重点实验室——新疆医科大学第五附属医院联合项目(SKL-HIDCA-2021-WF1)。

摘　　要：目的了解消化系统恶性肿瘤患者患病特点,分析肿瘤患者住院费用的影响因素。方法收集2017—2021年消化系统恶性肿瘤患者的病案首页资料,分析肿瘤患者患病特点,利用灰色关联法和结构变动度分析住院费用。结果4505例消化系统恶性肿瘤排序前4位为结直肠癌、胃癌、肝癌、胆囊胆管癌,随着年龄增长患者数量增加,男性多于女性。2017—2021年消化系统恶性肿瘤患者人均住院费用呈增长趋势,影响肿瘤患者住院费用关联度排序前2位为耗材费和西药费,耗材费和西药费的累计结构变动贡献率为60.80%。结论重点提倡开展老年群体消化系统肿瘤早期筛查。西药费和耗材费是住院费用的主要影响因素,建议合理调整优化住院费用结构,实施药品和耗材精细化、数字化管理,进一步提高医疗技术人员的知识价值回报。Objective To investigate the characteristics of patients with malignant tumors of digestive system and analyze the influencing factors of hospitalization expenses.Methods Medical record first page data of patients with digestive system cancer from 2017 to 2021 were collected to analyze the characteristics of tumor patients and the hospitalization costs with gray correlation method and structural variation degree.Results The top four malignant tumors of 4505 cases of digestive system were colorectal cancer,gastric cancer,liver cancer,and gallbladder and cholangiocarcinoma.The number of cases increased with age and there were more men than women.From 2017 to 2021,the average hospitalization cost of patients with digestive system cancer showed an increasing trend.The top two influencing factors of hospitalization expenses of gastrointestinal cancer patients were consumables and western medicine.The contribution rate of the structural change of western medicine and consumables cost was 60.80%.Conclusion Early screening of digestive system tumors in the elderly is recommended.The costs of Western medicine and consumables were the main influencing factors of hospitalization expenses.It is suggested to reasonably adjust and optimize the structure of hospitalization expenses,implement the refined and digital management of drugs and consumables,and further improve the return on knowledge value of medical technicians.

关 键 词：消化系统恶性肿瘤 患病特点 住院费用 灰色关联法 结构变动度 

分 类 号：R197.3[医药卫生—卫生事业管理]