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[目的]了解2006~2011年重庆市某三甲医院胃癌患者住院费用的影响因素及发展态势,分析影响结构变动的主要费用项目及变动情况。[方法]运用新灰色关联分析法,对住院费用构成进行定量分析;采用灰色关联度分析2006~2011年中住院费用结构的变动情况。[结果]2006~2011年胃癌患者的医疗费用各项目在总体顺位上保持相对稳定。药品费的关联度最大(1.0000),其次是手术费(0.7342);药品费的结构变动度贡献率最大(41.51%),其次是手术费(26.99%),两者累计贡献率为68.50%。[结论]药品费用是住院费用控制的主要影响因素。通过合理支配药品和降低不必要的费用可以减轻患者的住院费用负担。
[Objective] To understand the influencing factors and development trend of hospitalization expenses of patients with gastric cancer in a top-three hospital in Chongqing from 2006 to 2011 and analyze the major expense items and their changes affecting the structural changes. [Methods] The new gray relational analysis method was used to quantitatively analyze the composition of hospitalization expenses. The gray relational degree was used to analyze the change of hospitalization expense structure from 2006 to 2011. [Results] The items of medical expenses of patients with gastric cancer from 2006 to 2011 maintained a relatively stable overall ranking. (1.0000), followed by operation costs (0.7342). The structure variable degree of pharmaceutical expenses contributed the most (41.51%), followed by operation costs (26.99%), the cumulative contribution rate of both was 68.50%. [Conclusion] The cost of medicine is the main influencing factor of hospitalization cost control. By rationalizing the medicines and reducing unnecessary costs, the patient’s burden of hospitalization can be reduced.