基于结构变动度及灰色关联分析的某医院甲状腺癌手术患者住院费用研究  

Analysis on the Hospitalization Expenses of Thyroid Cancer Patients Based on Structural Change Degree and Grey Correlation

作　　者：彭宇欣 朱致旭 严俊涛 刘静[2] 陈英耀[1] 魏艳[1] Peng Yuxin;Zhu Zhixu;Yan Juntao(School of Public Health,Fudan University/NHC Key Laboratory of Health Technology Assessment(Fudan University),Shanghai,200032,China;不详)

机构地区：[1]复旦大学公共卫生学院·国家卫生健康委员会卫生技术评估重点实验室(复旦大学),上海200032 [2]海南医学院管理学院,海南海口571199

出　　处：《中国医院管理》2024年第2期83-86,共4页Chinese Hospital Management

基　　金：国家自然科学基金项目(72004028);上海市加强公共卫生体系建设三年行动计划(2023—2025)优青项目(GWV1-11.2-YQ57)。

摘　　要：目的分析甲状腺癌手术患者住院费用的结构变化情况及其变化原因,为合理控制医药费用提供参考依据,使得甲状腺癌手术患者住院费用结构更趋于合理化。方法运用结构变动度及灰色关联分析法对样本医院2017—2022年的甲状腺癌手术患者住院费用变化情况及关联情况进行定量分析。结果2017—2022年样本医院甲状腺癌手术患者住院费用呈下降趋势,药品费、耗材费占比较大;耗材费和治疗费总体均呈正向变动,药品费和诊断费总体均呈负向变动,护理费和一般医疗服务类费用虽呈正向变动,但变动不明显;6年间影响甲状腺癌手术患者例均住院费用关联度位于前两位的是药品费和耗材费。结论甲状腺癌手术患者住院费用结构趋于合理,但仍有较大改进空间。建议继续加强对药品、医用耗材等方面的管控,同时明确技术劳务、物资耗材等项目的价值构成,进一步优化住院费用结构。Objective To analyze the structural changes and reasons for hospitalization expenditure among patients with thyroid cancer,so as to provide a reference basis for reasonable control of medical costs,making the structure of hospitalisation costs for patients undergoing surgery for thyroid cancer more rational.Methods The degree of structural change and the grey correlation method were used to quantitatively analyze the changes in the structure of hospitalization expenses and the degree of correlation of patients with thyroid cancer surgery in a hospital in Shanxi Province from 2017 to 2022.Results From 2017 to 2022,the hospitalization expenses of thyroid cancer surgery patients in the hospital showed a decreasing trend,and drug fees and consumables fees accounted for a large proportion.Consumables fees and treatment fees showed positive contribution changes,drug fees and diagnosis fees showed negative contribution changes.Nursing fees and general medical service fees showed positive contribution changes,but were not obvious.During the 6-year period,the top two related factors affecting the hospitalization expenses of thyroid cancer patients were drug fees and consumables fees.Conclusion The structure of hospitalization expenses of per thyroid cancer patients tends to be reasonable,but there is still a large room for improvement.It is suggested to continue to strengthen the control of drugs and medical consumables,and clarify the value composition of technical labor and material consumables,so as to further optimize the structure of hospitalization expenses.

关 键 词：甲状腺癌 住院费用 结构变动度 灰色关联分析 

分 类 号：R197.322[医药卫生—卫生事业管理]