An Analysis In The Influence Factors For Hospitalization Costs Of Breast Cancers In A Tertiary Level First-class Hospital In Henan Province

Objective For the current situation of the rapid growth in hospitalization costs of breast cancer inpatients,this study analyzes the data of the hospitalization costs of the breast cancer inpatients in a tertiary level first--class hospital from 2013 to 2016.It finds out the main factors of affecting the hospitalization costs of the breast cancer inpatients.With looking up the related literature and policy,this study put forward the reasonable measures,which provides the scientific and valuable references for controlling the growth of hospitalization costs of the breast cancer.Methods The retrospective review is used in this study to analyze the influence factors of the breast cancer inpatients,combined with the basic information of extracting from the breast cancer inpatients,10,779 cases,left the hospital from July 2013 to June 2016.This study sets up the database with excel,and use the SPSS21.0 to do the non-parametric test and multiple linear regression analysis.Results 1.The average age of the breast cancer is at the age of 48.92,and the number of the unemployed people is large,3374,the percentage is 31.30%;the percentages of the self-paying patients and new rural co-operative medical patients are 60.69% and 26.83%.2.The complication inpatients with breast cancer accounts for 10.67% of the total inpatients;the average days for all inpatients were 11.42 days;the average days for the surgical patients were 17.19;the number of the early patients of breast cancer were 2,641,accounting for 24.50%;the terminal-stage cancer patients were 75.5%.There were 4177 patients to accept the operative treatment,and there were 6602 patients to choose the non-surgical treatment.3.The average medical expense of hospitalized patients with breast cancer was 1,6261,72 RMB.The average medicine expense was 5,941.00 RMB,the medicine accounted for 36.53%;the technical service charge proportion was 7.52%.The hospitalization cost in different years showed the declining trend year by year,the difference among them has the statistical value(χ2 = 153.541,P < 0.001);However,there was no significant difference in the hospitalization expenses between different marital status(χ2 =0.683,P>0.05),and the hospitalization expenses of different occupational structure has a significant difference(χ2=32.925,P< 0.001);the hospitalization expenses of patients with different payment methods has significant difference(χ2=385.250,P<0.001).4.The different clinical stages were positively correlated with the average hospitalization expenses.The higher the tumor stage had,the more expensive the cost were(χ2=568.236,P < 0.001);the average hospitalization cost of the complications patients was higher than the non-complications(χ2=52.822,P<0.001);the hospitalization costs of breast cancer patients with different days in hospital has significant difference(χ2=7166.897,P < 0.001);the average hospitalization cost of the surgical patients was higher than the non-surgical patients(χ2=79.222,P<0.001).5.The multiple linear regression analysis shows that the factors influencing the hospitalization cost of the breast cancer inpatients are the days of hospital stay,the complications,surgical options,year of leaving the hospital,operation method,and patterns of payment,and discharge time.6.The breast cancer patients could be divided into four groups by diseases,the surgical complications,surgical group without complications,early non-surgical patients,and the terminal non-surgical patients.The predicted per capita cost of each group in sequence is 28,000 RMB,26,000 RMB,5,500 RMB,7,200 RMB.Conclusion 1.The main factors influencing the hospitalization cost of the breast cancer are the days of hospital stay,the complications,clinical tumor stage,and surgical options.It has positive significance for the breast cancer patients to get early diagnosis and early treatment,which could reduce the hospitalization expenses and improve the prognosis.2.The expenditure pattern is not reasonable,the proportion of the medicine costs was high,which reflected that the services projects cost of medical personnel technical value is lower.3.It could provide the reference frame for the relevant departments to make the charge standard,according to the establishment of the group model for the breast cancer disease and the predicted analysis of per capita cost of each group.On the premise of guaranteeing the hospital income,it also could control the unreasonable growth of hospitalization expense.