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Analysis Of The Composition And Influencing Factors Of Hospitalization Expenses Of Gastric Cancer Patients In A Third-class Hospital In Dalian

Posted on:2024-06-19Degree:MasterType:Thesis
Country:ChinaCandidate:X WangFull Text:PDF
GTID:2544306932976509Subject:Public health
Abstract/Summary:PDF Full Text Request
Objective:This study selects the data of hospitalization costs of gastric cancer patients in a third-class hospital in Dalian from 2017 to 2021,discusses the trend and structural composition of gastric cancer hospitalization expenses in the past five years,analyzes the basic situation of patients,medical payment methods and hospitalization days,explores the influencing factors of hospitalization costs of gastric cancer patients,and provides a certain theoretical basis for reducing the hospitalization costs of gastric cancer patients,adjusting the cost structure,optimizing inpatient services,and improving the hospital management structure.Methods:The data of this study came from the case management system of a tertiary hospital in Dalian,from which the basic information and hospitalization costs of all patients diagnosed with gastric cancer from January 1,2017 to December 31,2021 were extracted,and a total of 5289 cases were obtained after screening and processing the data.Specifically,it includes the following contents:basic information including gender,age,ethnicity,marital status,year of admission,medical payment method,length of hospitalization,etc.;Hospitalization costs include total costs,medicines,treatment,examinations,surgery,blood and blood products,beds,medical materials,nursing,and other expenses.Excel was used to organize and proofread the data,SPSS26.0 and SAS9.4were selected for statistical analysis,and univariate analysis,multivariate analysis and grey correlation analysis were selected to explore the influencing factors.Results:1.Through the description of sociodemographic characteristics and clinical features,the results show that there are more male patients than female patients,male:female is about 3:1,of which 3587 are male patients,accounting for 68%,and 1702 are female patients,accounting for 32%;The age of illness was concentrated in 50-69 years,a total of 3385 people,accounting for 64%.3,844 patients with<10 days of hospitalization,accounting for 73%;The medical payment methods of patients were mainly urban and rural residents’medical insurance,with a total of 3414 people,accounting for 65%;This was followed by medical insurance for urban workers,with 909people,accounting for 17%.2.The number of gastric cancer patients in the tertiary hospital has increased year by year,with an average annual growth rate of 18.86%,and the average inpatient cost from 2017 to 2021 is 18,851.11 yuan,the median is 10,055.01 yuan,and the total inpatient cost and average inpatient cost are increasing year by year.3.Among the individual costs,the total hospitalization expenses and various cost data did not follow the normal distribution,and the median index was selected as the central trend description of the results.The median cost of drugs was 4765.16 yuan,followed by examination fee of 2978.50 yuan,and the lower median single cost was456.85 yuan for treatment,243.20 yuan for bed and 169.40 yuan for nursing.4.Univariate analysis showed that the factors affecting the hospitalization cost of gastric cancer patients were statistically significant(P<0.05)gender,age,medical payment method,year of admission and length of hospitalization,while the effects of ethnicity and marital status on hospitalization cost were not statistically significant(P>0.05).5.After multi-factor analysis,it was found that the main factors affecting the hospitalization cost of gastric cancer patients were:length of hospitalization,year of hospitalization,and medical payment method.The results of multiple regression model analysis showed that F=1503.54,P<0.0001,indicating that the model was statistically significant,and the adjustment coefficient R~2=0.6315 showed that 63.2%of the factor changes could explain the variation of hospitalization costs.Conclusion:1.From 2017 to 2021,the number of gastric cancer patients increased year by year,and the number of gastric cancer patients over 60 years old gradually increased,and the incidence rate was obvious.There are significantly more male patients than female patients,with a male-to-female ratio of 3:1.2.The internal composition of hospitalization expenses of gastric cancer patients is unreasonable,accounting for the top three are drug fees,medical material costs,and examination fees,on the contrary,surgical fees,nursing fees and other items that reflect the labor value of medical staff account for relatively low proportions and do not change much with time.3.The main factors affecting the total hospitalization cost of gastric cancer patients include the number of days of hospitalization,medical payment method,and year of admission,among which,the most critical factor is the number of days of hospitalization,and the length of hospitalization of patients directly affects the level of hospitalization costs,so in order to alleviate the burden of disease of patients,we must first start from controlling the number of hospitalization days.
Keywords/Search Tags:Hospitalization costs, Influencing factors, Patients with gastric cancer, Grey correlation analysis
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