基于分位数回归法的成人白血病患者复发住院费用分析  

Hospitalization expenses of adult leukemia patients with relapse based on quantile regression

作　　者：沈芩 寇欢 宁显伟 SHEN Qin;KOU Huan;NING Xianwei(Department of Hematology,West China Hospital of Sichuan University/West China School of Nursing,Sichuan University,Chengdu,Sichuan 610000,China;Department of Nephrology,Sichuan Second Hospital of Traditional Chinese Medicine,Chengdu,Sichuan 610031,China;Department of Pediatrics,Sichuan Jinxin Women′s and Children′s Hospital,Chengdu,Sichuan 610021,China)

机构地区：[1]四川大学华西医院血液内科/四川大学华西护理学院,四川成都610000 [2]四川省第二中医医院肾病科,四川成都610031 [3]四川锦欣妇女儿童医院儿科,四川成都610021

出　　处：《公共卫生与预防医学》2024年第1期93-95,共3页Journal of Public Health and Preventive Medicine

摘　　要：目的基于分位数回归法分析成人白血病患者复发住院费用的影响因素。方法分析四川大学华西医院白血病复发患者住院费用的构成情况和影响因素。结果2017—2022年白血病患者复发人均住院费用呈逐年增长趋势。分位数回归模型结果显示,年龄、付费方式、住院天数、住院次数、手术情况、并发症情况在不同分位数点对患者住院费用产生影响,不同分位数点间差异有统计学意义(P<0.05)。结论分位数回归法能够更加清晰地反映各因素变量的分布情况,针对上述因素可通过提高医保覆盖率、控制住院天数等措施降低患者住院费用。Objective Based on quantile regression analysis,the influencing factors of relapse hospitalization expenses of adult leukemia patients were analyzed.Methods Analyze the composition and influencing factors of hospitalization expenses for leukemia recurrence patients in our hospital.Results From 2017 to 2022,the per capita hospitalization cost for leukemia patients with recurrence showed an increasing trend year by year.The results of quantile regression model showed that age,payment method,length of stay,times of stay,operation and complications had an impact on the hospitalization expenses of patients at different quantiles,and the difference between different quantiles was statistically significant(P<0.05).Conclusions The quantile regression method can more clearly reflect the distribution of the variables of each factor,we can reduce the hospitalization expenses of patients by improving the coverage rate of medical insurance and controlling the length of stay.

关 键 词：白血病 住院费用 分位数回归法 

分 类 号：R181[医药卫生—流行病学]