基于中断时间序列的乳腺癌日间化疗医疗费用分析  

An interrupted time series-based study of medical expenses for breast cancer day chemotherapy

作　　者：赵敏 黄光明 黄承龙 陈思妍[2] 张宏亮[1] ZHAO Min;HUANG Guangming;HUANG Chenglong;CHEN Siyan;ZHANG Hongliang(Department of Pharmacy,the First Affiliated Hospital of Guangxi Medical Universtiy,Nanning 530021,Guangxi,China;Department of Day Chemotherapy Center,the First Affiliated Hospital of Guangxi Medical Universtiy,Nanning 530021,Guangxi,China)

机构地区：[1]广西医科大学第一附属医院药学部,广西南宁530021 [2]广西医科大学第一附属医院日间化疗中心,广西南宁530021

出　　处：《中国现代医生》2024年第28期59-62,共4页China Modern Doctor

摘　　要：目的探讨日间化疗后对乳腺癌患者医疗费用和费用结构的影响。方法回顾性调查广西医科大学第一附属医院2019年1月至2023年9月乳腺癌患者的医疗费用,采用中断时间序列分析法,对日间化疗实施前后乳腺癌医疗费用及费用结构的变化和变化趋势进行分析。结果本研究共纳入8066例次乳腺癌患者,开展日间化疗后,总费用及各费用明细均呈显著下降(P<0.001)。总费用、药品费用、检查费用及其他费用在实施日间化疗前呈上升趋势(P<0.05),检验费用在日间化疗开展前呈下降趋势(P<0.001)。总费用在实施日间化疗时瞬时减少7306.34元,检验费、治疗费、检查费、护理费、药品费、卫生材料费和其他费用分别瞬时减少599.59元、1674.34元、1470.66元、91.37元、3473.91元、231.51元和436.73元。结论日间化疗的开展使乳腺癌化疗各类费用均显著下降,有利于减轻患者的疾病负担。Objective To investigate the effect of day chemotherapy on medical expenses of breast cancer patients.Methods The medical expenses of breast cancer patients in the First Affiliated Hospital of Guangxi Medical Universtiy from January 2019 to September 2023 were retrospectively investigated.Interrupted time series analysis was used to analyze the changes and trend of medical expenses and expenses structure of breast cancer before and after the implementation of day chemotherapy.Results The number of 8066 cases with breast cancer were included in this study.After day chemotherapy,the total expenses and each expense detail decreased significantly(P<0.001).The total expenses,medicine expense,examination expenses and other expenses showed an upward trend before implementation of day chemotherapy(P<0.05),the laboratory expenses showed a downward trend before implementation of day chemotherapy(P<0.001).The total medical expenses decreased by 7306.34 yuan immediately after the implementation of day chemotherapy.The expenses of laboratory test,treatment,examination,nursing,medicine,health materials and other expenses were decreased by 599.59 yuan,1674.34 yuan,1470.66 yuan,91.37 yuan,3473.91 yuan,231.51 yuan and 436.73 yuan,respectively.Conclusion The implementation of day chemotherapy for breast cancer has significantly reduced all kinds of costs,which is conductive to reducing disease burden of patients.

关 键 词：日间化疗 中断时间序列 乳腺癌 医疗费用 

分 类 号：R197[医药卫生—卫生事业管理]