2013年-2021年我国急性白血病住院费用分析  

Analysis on the Hospitalization Expenses for Acute Leukemia in China from 2013 to 2021

作　　者：王洪涛 高丽娜 王伟平 李良 高天夫 都夏清 Wang Hongtao;Gao Lina;Wang Weiping;Li Liang;Gao Tianfu;Du Xiaqing(Tianjin Key Laboratory of Cancer Prevention and Treatment,National Clinical Medical Research Center of Malignant Tumor,Tianjin Cancer Hospital,Tianjin Medical University,Tianjin 300060,China)

机构地区：[1]天津医科大学肿瘤医院、国家恶性肿瘤临床医学研究中心、天津市恶性肿瘤临床医学研究中心、天津市肿瘤防治重点实验室,天津市300060

出　　处：《中国病案》2024年第4期61-65,共5页Chinese Medical Record

基　　金：天津医科大学医院管理创新研究项目(2023YG08);天津市医学重点学科(专科)建设项目(TJYXZDXK-009A)。

摘　　要：目的探讨急性白血病的住院费用构成与住院费用变化趋势,为有效控制医疗费用不合理增长提供研究基础。方法收集统计年鉴中2013年-2021年急性白血病住院费用相关信息,运用Excel展示费用变动情况并计算年均增长率,采用灰色关联分析对2013年-2021年我国急性白血病住院费用关联度进行分析,采用结构变动度分析费用构成的总体特征和费用内部结构的动态变化趋势,找出影响医疗费用变动的主要因素。结果2013年-2021年急性白血病次均医药费逐年增长,年均增速高达8.45%;灰色关联分析显示:住院费用中关联最大的为药费(1.00),其次为治疗费(0.72)、检查费(0.72)、卫生材料费(0.71)和手术费(0.69);结构变动度分析显示:2013年-2021年急性白血病患者住院费用的总结构变动度为13.25%,2016年-2017年变化幅度最大,住院费用变动最大的医疗费用为药费,住院费用结构变动贡献率最大的也是药费。高额的药品费用是住院费用增加的主要影响因素。结论急性白血病住院费用逐年增长,药费是住院费用增长的主要因素,其次是治疗费和检查费。建议建立科学控费评价指标体系,不断优化临床路径,规范诊疗行为,合理降低药费,多措并举减轻急性白血病患者经济负担。Objectives To explore the composition and trend of hospitalization expenses in acute leukemia,and provide a research basis for effectively controlling the unreasonable growth of medical expenses.Methods To collect relevant information on hospitalization expenses for acute leukemia from 2013 to 2021 in the statistical yearbook,use Excel to display the changes in expenses and calculate the annual growth rate.Use grey correlation analysis to analyze the correlation degree of hospitalization expenses for acute leukemia in China from 2013 to 2021.Use structural change analysis to analyze the overall characteristics of expense composition and the dynamic trend of internal structure of expenses,and identify the main factors affecting the changes in medical expenses.Results From 2013 to 2021,the average medical expenses for acute leukemia increased year by year,with an average annual growth rate of 8.45%;Grey correlation analysis showed that the highest correlation among hospitalization expenses was drug expenses(1.00),followed by treatment expenses(0.72),examination expenses(0.72),sanitary material expenses(0.71),and surgical expenses(0.69).The analysis of structural change showed that the summary structural change of hospitalization expenses for acute leukemia patients from 2013 to 2021 was 13.25%,with the largest change from 2016 to 2017.The medical expenses with the largest change in hospitalization expenses were drug expenses,and the contribution rate of structural change in hospitalization expenses was also drug expenses.The high cost of drugs was the main influencing factor for the increase in hospitalization expenses.Conclusions The inpatient expenses of acute leukemia increased year by year,and the drug expense was the main factor,followed by the treatment expense and the examination expense.It was suggested to establish a scientific evaluation index system for expense control,continuously optimize clinical pathways,standardize diagnosis and treatment behaviors,rationally reduce drug expense,and take multiple me

关 键 词：急性白血病 住院费用 灰色关联分析 结构变动度 

分 类 号：R733.71[医药卫生—肿瘤] R197.3[医药卫生—临床医学]