基于灰色关联法与结构变动度的喉癌手术患者住院费用分析  

Hospitalization Cost Analysis of Patients Undergoing Laryngeal Cancer Surgery Based on Grey Correlation Method and Structural Variation

作　　者：景金龙 张琳[2] 张玲 Jing Jinlong;Zhang Lin;Zhang Ling(School of Public Health,Capital Medical University,Beijing 100069,China;不详)

机构地区：[1]首都医科大学公共卫生学院,北京市100069 [2]首都医科大学附属北京同仁医院病案科,北京市100730

出　　处：《中国病案》2024年第10期69-72,共4页Chinese Medical Record

摘　　要：目的分析喉癌手术患者次均住院费用及构成情况,探讨主要影响的费用项目,为控制医疗费用,降低患者经济负担提供参考依据。方法采用灰色关联和结构变动分析方法对某院2019年1月1日-2023年12月31日2418例喉癌手术患者住院费用进行分析。结果喉癌手术患者总次均住院费用呈现出上下波动的趋势;影响次均住院费用因素关联度大小的前四位分别为诊断费(0.952),关联度为(0.952),材料费(0.909)、手术费(0.902)、药费(0.899),住院费用总结构变动度为19.54%,其中药费呈逐年负向变动,诊断费呈逐年正向变动,手术费除2022年-2023年负向变动外,其余年份正向变动;住院费用结构变动度贡献率排名前三位的是药费、诊断费、手术费,累计贡献率为89.2%。结论住院费用结构日趋合理,但药费、诊断费、手术费是影响喉癌手术患者住院费用的主要因素,其中诊断费仍有优化空间,同时加强喉癌宣传,早发现,早治疗也是控制住院费用的有效手段。Objectives To analyze the average hospitalization cost and its composition of patients undergoing laryngeal cancer surgery,and explore the main affected cost items,so as to provide reference for controlling medical cost and reducing the economic burden of patients.Methods Grey correlation and structural change analysis were used to analyze the hospitalization costs of 2418 patients with laryngeal cancer from January 1st,2019 to December 31st,2023.Results The average hospital expenses of patients undergoing laryngeal cancer surgery fluctuated up and down.The top four factors influencing the correlation degree of the average inpatient cost were diagnostic cost(0.952),correlation degree(0.952),material cost(0.909),operation cost(0.902)and drug cost(0.899).The total structural variation of inpatient cost was 19.54%,among which drug cost showed a negative change year by year,and diagnostic cost showed a positive change year by year.Except for the negative change from 2022 to 2023,the operation cost changed positively in other years.The top three contribution rates of the structural change of hospitalization cost are drug cost,diagnosis cost and operation cost,with a cumulative contribution rate of 89.2%.Conclusions The structure of hospitalization cost was becoming more and more reasonable.However,drug costs,diagnostic costs and operation costs were the main factors affecting the hospitalization costs of patients undergoing laryngeal cancer surgery,among which there was still room for optimization of diagnostic costs.At the same time,strengthening the publicity of laryngeal cancer,early detection and early treatment were also effective means to control hospitalization costs.

关 键 词：喉癌 住院费用 灰色关联法 结构变动度 

分 类 号：R197.3[医药卫生—卫生事业管理] R739.65[医药卫生—公共卫生与预防医学]