The Hospitalization Cost Structure and Influencing Factors of 12256 Malignant Tumor Patients in Taixing
Objective To analyze the changes in the hospitalization cost structure of malignant tumor patients and the main influencing factors,in order to provide data support for reasonable control of hospitalization costs.Method The front pages information of 12256 discharged patients with primary diagnosis of C00-C97 from a tertiary hospital in Taizhou City,Jiangsu Province from January 1st,2018 to June 30th,2023 was collected.The hospitalization expenses were analyzed and described using interquartile spacing and non-parametric tests.Multiple linear regression analysis was used to identify the factors influencing hospital expenses for malignant tumors in the top three cases.Results The digestive system(5976 cases,48.76%),respiratory system(1968 cases,16.06%)and genitourinary system(1780 cases,14.52%)accounted for the top three cases,and the average cost was 26326.0 yuan,14,495.5 yuan and 16,200.3 yuan,respectively.The hospitalization expenses of all kinds of malignant tumors mainly focus on drugs,consumables and diagnosis fees.Linear regression showed that gender,age,transfer department,hospitalization days,critical severity,surgery,payment method,etc.were all inhibiting or promoting factors of total cost,and the model R2 was above 66%,indicating good model fitting(P＜0.05).The number of days in hospital and the grade of surgery had the greatest impact on the cost,and the standardized coefficients were between 0.378-0.565.Conclusions The disease burden of malignant tumor patients in this hospital was still heavy,and the number of days in hospital,the grade of operation and the type of tumor were the main factors affecting the direct medical expenses of malignant tumor patients per time.The key was to reduce the length of stay,control the proportion of drugs,expand the DRG payment pilot,and carry out multidisciplinary joint diagnosis and treatment.It was fundamental for medical institutions and disease control departments to do a good job in the tertiary prevention of local key diseases.
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