摘要
目的:通过分析广西医科大学附属肿瘤医院乳腺癌患者诊疗费用的构成和变化趋势,了解广西壮族自治区医保政策改革对乳腺癌患者诊疗费用的影响,以期为医保政策改革的完善提供依据。方法:收集并分析2014—2017年3 950名乳腺癌患者的相关资料,采用Kruskal-Wallis检验、多重线性回归模型探讨乳腺癌相关流行病学特征,分析住院费用构成及其影响因素。结果:广西医科大学附属肿瘤医院乳腺癌患者2014—2017年住院费用的中位数为29 266.94元。单因素分析显示年份、住院天数、年龄、付费方式、肿瘤分期及治疗方式对住院费用的影响差异有统计学意义(均P<0.01);多重线性回归分析显示2014—2017年住院费用影响因素影响力由大至小依次为住院天数、治疗方式、付费方式、肿瘤分期、年龄。结论:合理控制住院天数,积极推进城乡医保整合,可有效减轻乳腺癌患者的经济负担。
Objective:To understand the influence of medical insurance policy reforms in Guangxi on the hospitalization expenses of breast cancer patients by analyzing the composition and changing trend in breast cancer diagnosis and treatment expenses in the Guangxi Medical University Cancer Hospital,and to provide the evidence for the improvement of medical insurance policy reform.Methods:A total of 3950 breast cancer patients were collected from 2014 to 2017 and analyzed.Kruskal-Wallis test and multiple linear regression model were used to discuss the breast cancer related epidemiology and analyze the composition of hospitalization expenses and its influential factors.Results:The median hospitalization cost of breast cancer patients in our hospital from2014 to 2017 was 29266.94 Chinese Yuan.Single factor analysis showed that the impact of year,hospitalization days,age,payment method,tumor stage,and treatment method on hospitalization cost was significant(all P<0.01).Multiple linear regression analysis showed that the power of influential factors of hospitalization costs arranged descending from 2014 to 2017 as follows:hospitalization days,treatment methods,payment method,tumor staging,and age.Conclusion:Reasonably controlling hospitalization days and actively promoting the integration of urban and rural medical insurance can effectively reduce the economic burden for breast cancer patients.
作者
王承邦
黄婵
朱萧
WANG Chengbang;HUANG Chan;ZHU Xiao(Department of Breast,Guangxi Medical University Cancer Hospital,Nanning 530021;Department of Health Insurance and Health Care,Guangxi Medical University Cancer Hospital,Nanning 530021,China)
出处
《中南大学学报（医学版）》
CAS
CSCD
北大核心
2021年第5期521-528,共8页
Journal of Central South University ：Medical Science
基金
广西医科大学青年科学基金(GXMUYSF201643)
广西医科大学教评中心教改项目(02506219148X)
广西医科大学大学生创新课题(2018136)
广西高等教育本科教学改革工程项目(2019JGB160)。
关键词
乳腺癌
住院费用
医保政策
breast cancer
hospitalization costs
medical insurance policies
