摘要: 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。

Abstract: Objective To explore the influencing factors of hospita lizatio nexpend iture of gastric carcinom a inpatients and to provide evidence for perfecting medicine security system and preventing ga stric carcinoma.Methods The data on hospitalization expenditure of 3 287 gastric carcinom a inpatients in general hospital of Shanxi province were analyzed with descriptive analysis,rank test and multiple stepwise regression model.Results Admission rate of gastric carcinoma was in creasing continually from 2002 to 2008.The num ber of gastric carcinom a inpatients in 2008 was 1 8 times more than that of 2002.The average time of hospitalization was 17 day s in 2005.After adjusted by price index,the average hospitalization expenditure inc reased with an average annual growth rate of 13 5%.The average hospitalization expenditure in 2008 was 2 5 time smore than that of 2002.Except the lower growth rate of 1.18% in 2006,the average hospitalization expenditure in creased yearly.The propo rtion of medicine expenditure was bellow 40% and showed a downword trend.The main influen cing factors of hospita lization expenditure of gastr ic carcinom a inpatients were days of hospitalization,proportion of drug cost,and age.Hospitalization expenditure of the inpatients with health in surance was higher than that of inpatients without health insurance(P< 0.01).Hospitalization expenditure of inpatients cured was more than inpatients with other treamtent outcomes(P < 0.01).Conclusion Controlling the use of medicine and reducing the time of hospita lization could be effective and fea sible means to reduce the hospitalization expenditure of gastric carcinom a inpatients.