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目的探讨山西省胃癌患者住院费用的影响因素,为政府合理分配卫生资源、完善医疗保障制度以及卫生经济学评价提供依据。方法对山西省长治地区三级甲等综合医院和平医院2003—2012年3 151例胃癌患者的住院费用进行统计描述,并采用多元线性逐步回归模型分析住院费用的影响因素。结果 2003—2012年3 151例胃癌患者的平均住院天数中位数为16 d,人均住院费用为15 888.97元,日均住院费用为911.37元,且呈逐年上升趋势;住院费用构成中,药品费所占比例最大(36.59%),其次是手术费所占比例(15.85%);影响住院费用的主要因素依次为:是否手术、住院天数、药占比、付费方式、有无合并症、治疗结果和职业类型(均P<0.05)。结论胃癌患者的住院费用相对较高,应进一步完善医疗保障制度等措施以最大限度的降低胃癌患者的住院费用。
Objective To explore the influencing factors of hospitalization expenses of patients with gastric cancer in Shanxi Province and provide the basis for the government to rationally allocate health resources, improve the medical security system and evaluate the health economics. Methods The hospitalization expenses of 3 151 gastric cancer patients from 2003 to 2012 in the First-class General Hospital of Changzhi in Shanxi Province were statistically analyzed, and the influencing factors of hospitalization expenses were analyzed by multivariate linear stepwise regression model. Results The median length of hospital stay of 3 151 gastric cancer patients from 2003 to 2012 was 16 days, the average hospitalization expense was 15 888.97 yuan and the average daily hospitalization cost was 911.37 yuan, which showed an upward trend year by year. Among the hospitalized expenses, the cost of medicines (36.59%), followed by the proportion of operating costs (15.85%); the main factors affecting hospitalization costs were: surgery, hospitalization days, accounting for the proportion of payment, with or without complications, the results of the treatment And occupation type (all P <0.05). Conclusion The cost of hospitalization for patients with gastric cancer is relatively high. Measures such as the medical insurance system should be further perfected to minimize the cost of hospitalization for patients with gastric cancer.