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目的分析2010~2014年甘肃省兰州市某医院肺癌患者的人口学特征、住院费用的构成情况及其影响因素,为减少肺癌患者的住院费用、减轻其经济负担寻找有效的突破口。方法从甘肃省兰州市某三甲医院信息系统(HIS)数据库中提取2010~2014年肺癌患者的基本信息、就医信息及费用信息。运用Wilcoxon秩和检验分析5年间及不同特征分组间的费用差异,分别用前进法、后退法和逐步法筛选自变量,运用多重线性回归分析探索有关肺癌患者住院费用的主要影响因素。结果共收集有效病例2778例。西药费和治疗费是过去5年间占总费用比例最大的两项,分别为36.39%和22.46%;住院费用最大的影响因素为住院天数,其次为有无手术、年份和收费方式。结论可通过规范合理用药、改进治疗方案、做好患者心理疏导、健全医疗管理体制、完善医疗资源配置等措施,减少住院天数和降低住院费用,从而减轻甘肃省肺癌患者的经济负担。
Objective To analyze the demographic characteristics of lung cancer patients in a hospital in Lanzhou City, Gansu Province from 2010 to 2014, the composition of hospitalization expenses and its influencing factors in order to find an effective breakthrough in reducing the hospitalization costs and reducing the economic burden of lung cancer patients. Methods The basic information, medical information and cost information of patients with lung cancer from 2010 to 2014 were extracted from the information system (HIS) database of a top three hospital in Lanzhou, Gansu Province. Wilcoxon rank sum test was used to analyze the cost differences between the 5-year and the different characteristics of the subgroups. The independent variables were screened by forward method, backward method and stepwise method respectively. Multiple linear regression analysis was used to explore the main influencing factors of hospitalization costs of lung cancer patients. Results A total of 2778 cases were collected. Western medicine costs and treatment costs in the past five years accounted for the largest proportion of the total cost of the two were 36.39% and 22.46%; hospitalization costs were the largest hospitalization days, followed by the presence of surgery, the year and the method of charging. Conclusions The economic burden of patients with lung cancer in Gansu Province can be reduced by regulating the rational use of drugs, improving the treatment plan, improving patient psychological counseling, improving the medical management system, improving the allocation of medical resources, reducing hospitalization days and hospitalization costs.