论文部分内容阅读
目的分析肺恶性肿瘤患者住院费用及其影响因素,为探讨降低肺恶性肿瘤医疗费用提供参考。方法筛选南京某三甲肿瘤专科医院2013-2015年三年中肺恶性肿瘤患者4484例,通过电子病历系统提取患者的住院费用等信息,使用spss19建立数据库,采用Kruskal-Wallis H检验进行单因素分析,运用多元线性回归分析进行多因素分析。结果男性患者高于女性患者占66.8%,并集中在50-70岁。性别、年龄、住院天数、费用类别、是否手术、是否转院、与住院费用存在相关的线性关系,R_(rel)~2=0.553,对住院费用的影响最大的前三位因素依次是:住院天数、费用类别、性别。结论缩短住院天数,调整收费结构有利于减少肺恶性肿瘤患者的住院费用。加大对重点人群的筛查,做好早期的诊断和治疗。
Objective To analyze the hospitalization cost and its influential factors in patients with lung cancer and provide reference for reducing the medical costs of lung malignant tumors. Methods A total of 4484 cases of lung cancer were screened from a top-grade cancer hospital in Nanjing from 2013 to 2015 in 2013-2015. The patient’s hospitalization expenses were extracted by electronic medical record system. The database was constructed by spss19 and univariate analysis was performed by Kruskal-Wallis H test. Multivariate analysis was performed using multivariate linear regression analysis. Results Male patients were 66.8% higher than female patients, and concentrated in the 50-70 years old. Sex, age, days of hospitalization, cost categories, whether surgery, whether the transfer of hospitalization, and hospitalization costs related to the linear relationship, R rel 2 = 0.553, the most significant impact on the cost of hospitalization in the top three factors are: length of stay , Cost category, gender. Conclusion Shortening the length of hospital stay and adjusting the fee structure will help to reduce the hospitalization costs of patients with lung cancer. Increase the screening of key populations, make early diagnosis and treatment.