[1]周启燕孙麟.肝癌病种住院费用影响因素分析[J].中国卫生质量管理,2019,26(03):33-36.[doi:10.13912/j.cnki.chqm.2019.26.3.09]

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肝癌病种住院费用影响因素分析

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 第26卷期数: 2019年03期页码: 33-36 栏目: 医疗质量出版日期: 2019-05-28

作者:: 周启燕孙麟; 四川大学华西医院

关键词:: 肝癌; 住院费用; 高额费用; 影响因素

Keywords:: Liver Cancer; Hospitalization Expenses; High Cost; Influencing Factors

DOI:: 10.13912/j.cnki.chqm.2019.26.3.09

摘要:: 目的探讨肝恶性肿瘤患者住院费用影响因素，为疾病管理与费用控制提供参考。方法利用SPSS 19.0统计软件对2015年-2016年A市某三级甲等医院肝恶性肿瘤住院患者费用数据进行描述性统计、相关性分析、单因素分析及多因素回归分析。结果是否有感染、是否有化疗及肿瘤是否转移为肝癌患者住院费用的关键影响因素。结论针对肝癌患者，相关部门应严格控制住院时长与药品耗材占比，规范管理临床路径，将肿瘤早期筛查与预防纳入医保支付范畴，建立完善的肿瘤照护与转诊制度，以合理控制医疗费用增长，减轻患者经济负担，提高患者生活质量。

Abstract:: ObjectiveTo investigate the influencing factors of hospitalization cost for patients with liver malignant tumor, and to provide reference for disease management and cost control.MethodsThe inpatient expenditures data of liver cancer patients in a general tertiary hospital from 2015-2016 were included for descriptive statistics, correlation analysis and logistic regression by SPSS 19.0.ResultsInfection, chemotherapy and tumor metastasis were the key factors influencing the costs of liver cancer.Conclusion For liver cancer patients, relevant departments should strictly control the length of stay and proportion of drug and material, management of clinical pathway should be standardized, tumor early screening and prevention should be included in the health insurance payment category, the comprehensive cancer care and referral system should be established, which aimed to reasonable control increase of medical expenses, reduce the economic burden and improve the quality life of patients.

参考文献/References:

［1］陈万青，郑荣寿，曾红梅，等.2011年中国恶性肿瘤发病和死亡分析［J］.中国肿瘤，2015，24（1）：1-10.

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更新日期/Last Update: 2019-05-28