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肺癌手术患者住院费用结构变动及灰色关联分析

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目的 分析某肿瘤专科医院肺癌手术治疗患者住院费用构成变化情况,探究影响肺癌手术治疗患者住院费用的主要因素,为合理调控医疗费用提供参考依据.方法 选择2020年1月1日-2022年12月31日某肿瘤专科医院5 578例肺癌手术治疗患者住院费用构成信息,运用结构变动度及灰色关联分析方法对肺癌手术治疗患者住院费用结构变动情况及关联度进行统计分析.结果 2020年在肺癌手术治疗患者住院费用中手术用一次性医用材料费和手术费占比为35.63%和11.76%,2021年为35.92%和12.50%,2022年为37.83%和14.63%.患者住院医疗费用结构变动度为15.31%,年均结构变动度为7.66%.灰色关联分析表明肺癌手术治疗患者住院费用关联度前3位为手术用一次性医用材料费(0.94)、西药费(0.82)、手术费(0.78).结论 肺癌手术治疗患者住院费用中手术用一次性医用材料费、西药费以及手术费是影响肺癌手术治疗患者住院费用的主要因素,应进一步加强医用耗材的管理,优化医疗费用结构,合理提高体现劳动价值的项目费用比例.
Analysis of changes in structure variation and grey correlation of hospitalization expense of lung cancer patients undergoing surgery
Objective To analyze the changes in the composition of hospitalization expenses of lung cancer patients undergoing surgery in a certain cancer specialty hospital,and to explore the main factors affecting the hospitalization expenses of lung cancer patients undergoing surgery,so as to provide reference basis for reasonable control of medical expenses.Methods The information of hospitalization expenses composition of 5 578 lung cancer patients undergoing surgery in a certain cancer specialty hospital from January 1,2020 to December 31,2022 was selected.The degree of structure variation and grey correlation analysis methods were used to statistically analyze the structural change and correlation degree of hospitalization expenses of lung cancer patients undergoing surgery.Results In 2020,the proportion of surgical disposable medical materials and surgical expenses in the hospitalization expenses of lung cancer patients undergoing surgical treatment were 35.63%and 11.76%,35.92%and 12.50%in 2021,and 37.83%and 14.63%in 2022.The degree of structure variation of hospitalization expenses of patients was 15.31%,and the degree of annual structure variation was 7.66%.Grey correlation analysis showed that the top three related hospitalization expenses of lung cancer patients undergoing surgery treatment were the surgical disposable medical materials expenses(0.94),western medicine expenses(0.82)and surgical expenses(0.78).Conclusion The surgical disposable materials expenses,western medicine expenses and surgical expenses were the main factors affecting the hospitalization expenses of lung cancer patients.The management of medical consumables should be further strengthened,the structure of medical expenses should be optimized,and the proportion of project costs reflecting labor value should be reasonably increased.

Lung cancerHospitalization expenseDegree of structure variationGrey correlation analysis

周学健

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广西师范大学政治与公共管理学院,广西壮族自治区桂林 541001

江苏省肿瘤医院医务处

肺癌 住院费用 结构变动度 灰色关联分析

2024

中国城乡企业卫生
中华预防医学会 天津市职业病防治院

中国城乡企业卫生

影响因子:0.239
ISSN:1003-5052
年,卷(期):2024.39(5)