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目的:探讨结直肠癌病人住院费用的影响因素,探寻中医医院绩效特征及影响费用的因素分布规律,提出降低医疗费用的有效途径。方法:回顾性分析2008年北京市基本医保结直肠癌住院病例共3046例数据,调查其住院期间医疗质量与费用的有关因素,采用一元与多元分析,研讨各种因素与住院费用之间的关系。结果:影响住院费用的主要因素是:住院占床日、医院类型、出院主要治疗结果、医院等级、有无手术、合并心脑疾病诊断等。结论:提高中医药应用比例、缩短住院床日、提高诊疗水平与服务质量,可以明显降低住院费用。
Objective: To explore the influencing factors of hospitalization expenses of patients with colorectal cancer, to explore the performance characteristics of traditional Chinese medicine hospitals and factors affecting the distribution of costs, and to propose effective ways to reduce medical costs. Methods: A retrospective analysis of Beijing’s basic medical insurance in 2008, a total of 3046 cases of colorectal cancer inpatients data to investigate the medical quality and cost of hospitalization during the relevant factors, the use of univariate and multivariate analysis of various factors and the relationship between the cost of hospitalization . Results: The main factors affecting the cost of hospitalization were: bed occupancy date, type of hospital, the main outcome of discharge, hospital level, with or without surgery, combined diagnosis of heart and brain disease. Conclusion: Improving the proportion of traditional Chinese medicine application, shortening hospital bed days, improving diagnosis and treatment level and service quality can significantly reduce hospitalization costs.