Analysis of the Cost of Cancer Inpatients and Its Influencing Factors in a Tertiary Hospital in Beijing
Objectives This study aims to explore the composition and influencing factors of the cost of malignant tumor inpatients in a tertiary hospital and to provide a reference for effective control of the discharge cost of malignant tumor patients.Methods The total cost and composition of 3166 inpatients with malignant tumors discharged from the medical record system of a hospital in Beijing from January 1 to December 31,2022 were selected.The influencing factors of hospitalization cost were statistically analyzed by one-way ANOVA and multiple stepwise regression analysis.Results The per capita hospitalization expenses for 3,166 discharged patients with malignant tumors were 32,097.45 yuan,with Western medicine expenses accounting for the highest proportion,reaching 38.25%.Surgery fees and treatment fees followed,accounting for 36.41%and 25.34%respectively.The hospitalization expenses of the top 8 malignant tumors accounted for 47.15%.The results of the multifactor analysis showed that surgery,disease outcome,gender,and length of stay were the main factors affecting the hospitalization costs of inpatients with malignant tumors.Among them,surgery had the greatest impact on discharge costs.Comparing the discharged patients with surgical and non-surgical treatment,the average hospitalization cost of surgical patients increased by 8322.23 yuan,with both P<0.05.Conclusions The hospitalization cost of discharged patients with malignant tumors is high,and the economic burden is heavy.Hospitals should actively formulate policies,reasonably and scientifically control medical expenditure,and improve the management level and work efficiency of the hospital.