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目的了解某厂矿2001—2010年食管癌患者的住院费用,找出主要的影响因素和费用结构变化趋势。方法采用灰色关联法对住院费用的6类构成(药品、检验、治疗、床位、手术、其他)进行定量分析;采用结构变动度法分析10年住院费用的结构变动情况。结果 2001—2010年间各住院费用项目中,药品费的关联度最大(1.0000),其次是检验费(0.542 7)和治疗费(0.535 5),药品费的结构变动贡献率最大(46.49%),其次是治疗费(24.23%),二者的累计贡献率为70.72%。结论药品费是住院费用的主要影响因素,药品费和治疗费是引起住院费用支出结构变动的主要因素,合理支配药品费用和降低不必要的治疗相关费用能够减轻患者的住院费用负担。
Objective To understand the hospitalization expenses of esophageal cancer patients from 2001 to 2010 in a factory and mine, and to find out the main influencing factors and the trend of cost structure changes. Methods Gray correlation method was used to quantitatively analyze the six categories of hospitalization costs (drugs, testing, treatment, beds, surgery, others) and the structural change of hospitalization costs by structural change analysis. Results Among the various hospitalization expense items in 2001-2010, the correlation degree of drug costs was the largest (1.0000), followed by examination fee (0.542 7) and treatment cost (0.535 5), and the structural change contribution rate of drug charges was the highest (46.49%), Followed by the treatment fee (24.23%), both the cumulative contribution rate of 70.72%. Conclusions Drug costs are the main influencing factors of hospitalization expenses. Drug costs and treatment costs are the main factors causing changes in the structure of hospitalization expenses. Reasonably controlling drug costs and reducing unnecessary treatment-related costs can reduce the hospitalization burden on patients.