Analysis of Hospitalization Expenses and Influencing Factors of Surgical and Non-surgical Cervical Cancer Patients Based on Quantile Regression
Objectives This study aims to analyze the composition,changes,and influencing factors of hospitalization costs in cervical cancer patients with and without surgery,to provide a reference for controlling the increase of hospitalization expenses and reducing the direct economic burden of disease.Methods Descriptive analysis was performed on the basic characteristics,composition,and changes of hospitalization expenses of 10,905 surgical and non-surgical inpatients with cervical cancer in a tertiary cancer hospital from January 1,2018 to December 31,2019.Quantile regression was used to analyze the influencing factors of total hospitalization expenses.Results The hospitalization expenses of surgical and non-surgical cervical cancer patients showed an increasing trend,with annual per capita growth rates of 17.31％and 18.25％,respectively.The proportion of drug costs and diagnostic costs was higher,and the growth rate of rehabilitation costs was the fastest.Hospitalization days at 5 percentiles of 10％,25％,50％,75％,and 90％,as well as the number of hospitalizations at low and medium percentiles(10％,25％,and 50％),were common influencing factors for surgical and non-surgical inpatients.Age and whether or not to transfer to another department were the influencing factors of hospitalization expenses for non-surgical patients at 5 percentiles.Conclusions Effectively reducing the proportion of diagnosis cost and drug cost,strengthening the supervision of the use of rehabilitation therapy,shortening the length of hospital stay,and improving the level of medical technology are important measures to control the increase of hospitalization cost of cervical cancer patients.This provides a basis for reducing the economic burden of cervical cancer patients and formulating relevant management policies.
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