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目的:研究上海市肺癌患者直接经济负担的影响因素。方法:随机抽取上海市某家以诊治心肺疾病为主的三甲专科医院的上海市户籍肺癌患者1 280例,收集患者社会人口学特征、疾病特征、卫生服务利用及各项费用等信息。采用多元回归模型分析直接经济负担的影响因素。结果:治疗方案、地域和医保情况是影响患者卫生服务利用量的主要因素。治疗方案是影响患者卫生服务费用的主要影响因素。除此之外,住院天数越长,住院费用越高。结论:为减轻肺癌的疾病经济负担,应加强肺癌的防治宣传和高危人群的筛查工作,开发有效的肺癌早期诊断和治疗方法。在医疗机构中,调整收费结构,改革治疗手段,缩短平均住院天数。促进开发肺癌治疗方法,在临床医疗中开展经济学研究。
Objective: To study the influencing factors of direct economic burden of lung cancer patients in Shanghai. Methods: A total of 1280 cases of lung cancer in Shanghai were collected from a Shanghai Special Administrative Region hospital specializing in the diagnosis and treatment of cardiopulmonary diseases. The demographic characteristics, disease characteristics, utilization of health services and various costs were collected. Using Multiple Regression Model to Analyze the Influencing Factors of Direct Economic Burden. Results: The treatment plan, geographical location and health insurance are the main factors affecting the utilization of patients’ health services. Treatment programs are the main influencing factors for the cost of patient health services. In addition, the longer the hospital stay, the higher the cost of hospitalization. Conclusion: In order to reduce the economic burden of lung cancer, prevention and treatment of lung cancer should be strengthened and screening of high-risk groups should be strengthened to develop effective methods for early diagnosis and treatment of lung cancer. In medical institutions, adjusting the fee structure, reforming treatment and shortening the average length of stay. Promote the development of lung cancer treatment methods, carry out economic research in clinical medicine.