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目的了解2006年-2011年重庆市某三甲医院大肠癌患者住院费用的影响因素及发展态势,找出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6年中住院费用结构的变动情况。结果 6年来大肠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,为1.000,其次是手术费,达到0.8533;药品费的结构变动度贡献率最大,达到44.61%,其次是手术费的,有23.37%,合计为67.98%。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 for colorectal cancer in a top three hospital in Chongqing from 2006 to 2011 and find out the major cost items and changes affecting the structure change. Methods The new gray relational analysis was used to quantitatively analyze the composition of hospitalization expenses. The gray relational degree was used to analyze the change of hospitalization expense structure in six years. Results For 6 years, the items of medical expenses for patients with colorectal cancer remained relatively stable overall. The correlation degree of drug costs was the largest, 1.000, followed by surgery costs, reaching 0.8533; the contribution rate of structural changes of drug costs was the largest, reaching 44.61%, followed by surgery costs, with 23.37%, a total of 67.98%. Conclusion The cost of medicine is the main influence factor of hospitalization cost control. By rationalizing the medicines and reducing unnecessary costs, the patient’s burden of hospitalization can be reduced.