2021-2023年海南省某三甲医院乳腺癌患者住院费用构成及影响因素分析  

Analysis on Inpatient Hospitalization Expenses and Influencing Factors of Breast Cancer Patients in a Three A and Tertiary Hospital in Hainan Province from 2021 to 2023

作　　者：叶万玲 苏晓绚 郑金丹 卢伟锋 Ye Wanling;Su Xiaoxuan;Zheng Jindan;Lu Weifeng(The First Affiliated Hospital of Hainan Medical University,Haikou 570102,Hainan Province,China;不详)

机构地区：[1]海南医科大学第一附属医院,海南省海口市570102

出　　处：《中国病案》2024年第12期83-88,共6页Chinese Medical Record

基　　金：海南省卫生健康行业科研项目(22A200246)。

摘　　要：目的了解海南省某三甲医院乳腺癌患者住院情况并分析其住院费用的构成以及影响因素,为有效控制住院费用及减轻患者个人经济负担提供依据。方法从某院住院病案首页系统中抽出2021年1月1日-2023年12月31日主要诊断为乳腺癌的患者1107例病案信息进行回顾性分析,通过单因素分析及多元线性回归分析患者住院费用的影响因素。结果1107例住院患者年龄主要在45岁~64岁之间,占比达到56.1%,平均住院日为12.61天,人均费用为25896.88元,个人自付比例34.7%;住院费用中占较大的分别是诊断费(31.7%)、药品费(26.7%)、耗材费(18.5%)和治疗费(15.3%);多元线性回归分析,F=54.882,P<0.001,调整后R^(2)=0.481,影响乳腺癌患者住院费用的因素包括不同的住院天数、年龄、离院方式、入院病情、出院疗效、手术类型和病理类型。结论住院天数和手术是影响乳腺癌患者住院费用最重要的因素。加强乳腺癌的健康宣教,做到早发现早治疗;优化诊疗方案,开展日间手术,降低住院天数;加强抗癌药品集采,提高大病报销比例,有效降低患者住院费用。Objectives To investigate the inpatient status of breast cancer patients in a Three A and Tertiary Hospital in Hainan Province and analyze the composition and influencing factors of the inpatient hospitalization expenses,so as to provide evidence for effectively controlling the inpatient hospitalization expenses and reducing the individual economic burden of patients.Methods The medical records of breast cancer patients from 2023 were extracted from the medical record front page system between January 1st and December 31st,202l for retrospective analysis,and the influencing factors of hospitalization expenses were analyzed by univariate analysis and multiple linear regression.Results The age period of 1107 inpatients mainly between 45 and 64 years old,accounting for 56.1%.The average length of hospitalization was 12.6l days.The per capita cost was 25,896.88 yuan,and the proportion of individual out-of-pocket payment was 34.7%.The expenses of hospitalization were diagnosis(31.7%),medicine(26.7%),consumables(18.5%)and treatment(15.3%).Multiple linear regression analysis,F=54.882,P<0.001,adjusted R^(2)=0.481,the factors affecting inpatient hospitalization expenses of breast cancer patients included different days of the admission condition,age,mode of discharge,admission condition,discharge effect,type of surgery and pathological type.Conclusions The hospitalization days and operation were the most important factors affecting the hospitalization expenses of breast cancer inpatients.We should strengthen health education of breast cancer to achieve early detection and treatment,and optimize the diagnosis and treatment plan,carry out daytime surgery,reduce the length of hospitalization,strengthen the collection of anti-cancer drugs,increase the reimbursement ratio of serious diseases,so as to effectively reduce the hospitalization expenses of patients.

关 键 词：住院费用 乳腺癌 影响因素 

分 类 号：R737.9[医药卫生—肿瘤] R197.3[医药卫生—临床医学]