儿童急性淋巴细胞白血病直接医疗成本分析  

Analysis of direct medical cost in children with acute lymphocytic leukemia

作　　者：颜余竹[1] 于洁[1] 安曦洲 郭小利[1] 姚娟[1] 邓志芬 张文君 YAN Yuzhu;YU Jie;AN Xizhou;GUO Xiaoli;YAO Juan;DENG Zhifen;ZHANG Wenjun(Department of Hematology Oncology,Children′s Hospital of Chongqing Medical University,Ministry of Education Key Laboratory of Child Development and Disorders,National Clinical Medical Research Center of Child Health and Diseases,China International Science and Technology Cooperation Base of Child Development and Critical Disorders,Chongqing 400014,China)

机构地区：[1]重庆医科大学附属儿童医院血液肿瘤科,儿童发育研究教育部重点实验室,国家儿童健康与疾病临床医学研究中心,儿童发育重大疾病国家国际科技合作基地,重庆400014

出　　处：《中国中西医结合儿科学》2024年第2期136-139,共4页Chinese Pediatrics of Integrated Traditional and Western Medicine

基　　金：国家儿童健康与疾病临床医学研究中心儿童医疗保障创新研究示范基地项目(NCRCCHD-2019-HP-03,NCRCCHD-2019-HP-05)

摘　　要：目的分析急性淋巴细胞白血病(ALL)患儿直接医疗成本及构成比,为医疗制度的改革提供参考依据,为白血病患儿的规范治疗提供保障。方法收集2015年1月至2018年4月重庆医科大学附属儿童医院血液肿瘤科收治的ALL患儿110例,描述性分析ALL患儿的直接医疗成本,探讨其主要构成比。结果ALL患儿规范治疗期间,直接医疗成本主要由门诊费用(平均23597元)、一日化疗病房治疗费用(平均23216元)及普通病房住院费用(平均158152元)三部分构成,在这些费用中,其中药品费、治疗费及化验费所占比例较大。平均报销比例为59.1%(93415/158152),从住院时长上看,ALL患儿平均住院时间为131 d,日均住院费用为1207元(158152/131)。结论降低药品费用,规范的治疗和检查能降低医疗成本。全方位、多角度为白血病患儿家庭提供支持,为患儿的治疗提供有力保障。Objective To analyze the direct medical cost and composition ratio of children with acute lymphocytic leukemia,in order to provide basis for the reform of medical system and guarantee the standard treatment of children with leukemia.Methods A total of 110 children with acute lymphocytic leukemia were included in the study,who were treated in the Department of Hematology Oncology of Children′s Hospital Affiliated to Chongqing Medical University from Jan.2015 to Apr.2018.Descriptive analysis was used to analyze the direct medical costs of these children and investigate the main compositions.Results During the standard treatment of children with acute lymphocytic leukemia,the direct medical costs were mainly composed of outpatient costs(averaged 23597 CNY),one-day chemotherapy costs(averaged 23216 CNY),hospitalization costs(averaged 158152 CNY).In the total cost of children with ALL,drug costs,treatment costs and laboratory test costs accounted for a large proportion.The average reimbursement rate was 59.1%(93415/158152).The average hospitalization time of children with acute lymphoblastic leukemia was 131 days,and the average daily hospitalization cost was 1207 CNY(158152/131).Conclusion Reducing drug costs and standardized treatment and testing can reduce medical costs.Comprehensive and multi-angle support should be provided for the families of children with leukemia,in order to guarantee the treatment for these children.

关 键 词：白血病 医疗成本 儿童 

分 类 号：R725.5[医药卫生—儿科]