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目的对某肿瘤专科医院2011~2013年肺癌患者住院费用结构和变化趋势进行分析,为控制该疾病的住院费用提供科学依据,从而减轻患者负担。方法收集浙江省肿瘤医院2011~2013年住院肺癌患者的病案资料,对住院费用基本情况、构成情况、人均费用、日均费用进行描述性统计分析。结果共收集2011~2013年肺癌患者资料32201例,人均住院费用2012年同比增长7.05%,2013年同比增长7.82%,日均住院费用2012年同比增长8.49%,2013年同比增长8.64%,2013年全部肺癌患者住院总费用构成中,西药费所占比例最高(55.80%),自付金额占58.90%。手术患者人均费用为41421.85元,其中手术用材料费和西药费分别占32.72%和24.65%,自付金额占69.93%。化疗患者住院费用中,西药费占73.70%,自付金额占53.99%。结论肺癌患者经济负担呈现增长趋势,西药费是重要因素。应加强药品管理力度,合理用药；进一步深化医疗改革,降低恶性肿瘤费用的自费比例,减轻患者经济负担。“,”Objective To analyze the status and trend of hospitalization cost caused by lung cancer in a cancer hospital from 2011 to 2013,and to provide evidence for control ing hospitalization cost, thus reduce the economic burden. Methods The data of Hospitalization cost was col ected from the medical history of Zhejiang Cancer Hospital, to conduct a descriptive statistical analysis of the basic situation of hospitalization cost, the proportions, the per capita cost and the average daily cost. Results A total of 32201 cases were col ected. The results of statistical analysis showed that,per capita hospitalization cost in 2012 increased by 7.05%and 7.82%in 2013.Daily hospitalization cost in 2012 increased by 8.49%and 8.64%in 2013.Cost of medicine accounted for the biggest proportion of 55.80% in al patients of 2013.Self payment part accounted for 58.90%. The per capita expenses of surgical patients was 41421.85 Yuan, of which the cost of surgical materials and medicine were 32.72% and 24.65% respectively, and the amount of the self payment part was 69.93%. The cost of medicine accounted for 73.70% of hospitalized patients with chemotherapy,self payment amount accounted for 53.99%. Conclusion The economic burden is increasingly heavy. Medicine is the most important factor. To reduce the financial burden on patients, drug management should be strengthened to rational y regulate drug use. Health care reform should be further deepened to reduce the proportion of cancer costs at their own expense.