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目的探讨胃癌患者住院医疗费用影响因素,为完善医疗保障制度和制定胃癌防治规划提供依据。方法对山西省某综合医院2002-2008年3287例胃癌住院患者住院费用进行分析,采用多因素回归法分析影响胃癌患者住院费用的因素。结果 2002-2008年该院胃癌患者逐年增加,胃癌患者平均住院天数2005年为17d;平均住院费用逐年增加,平均增长速度为13.5%,2008年胃癌患者的平均住院费用17844.37元。住院费用的主要影响因素依次为住院天数、药品所占构成比、年龄;治愈患者医疗花费高于其他转归的患者(P<0.01),公费患者高于自费患者花费(P<0.01)。结论加强对药品费用的控制管理和缩短住院时间是目前降低胃癌患者住院费用的有效可行手段。
Objective To investigate the influencing factors of hospitalization expenses in patients with gastric cancer and provide the basis for improving the medical insurance system and formulating the prevention and control plans of gastric cancer. Methods The hospitalization costs of 3287 inpatients with gastric cancer in a general hospital of Shanxi province from 2002 to 2008 were analyzed. The factors influencing the hospitalization expenses of patients with gastric cancer were analyzed by multivariate regression analysis. Results The number of patients with gastric cancer in the hospital increased year by year from 2002 to 2008, and the average length of stay in patients with gastric cancer was 17 days in 2005. The average hospitalization expenses increased year by year with an average rate of 13.5%. The average cost of hospitalization for patients with gastric cancer in 2008 was 17844.37 yuan. The main influencing factors of hospitalization costs were hospitalization days, composition ratio and age of medicines; patients in cured patients had higher medical expenses than other patients (P <0.01), and those in paid patients were higher than those in patients with expense (P <0.01). Conclusion Strengthening the management and control of drug costs and shortening the length of hospital stay are the effective and feasible measures to reduce the hospitalization costs of patients with gastric cancer.