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目的了解山西省三级医院胃癌患者住院费用的影响因素,为卫生、医保等管理部门制定相关政策与措施提供依据。方法采用多重线性回归统计学方法回顾分析山西省41所三级医院胃癌患者住院费用与性别、年龄组、地区、付费方式、伴随诊断数目、住院日、药费占比的相关性。结果回归模型有统计学意义(F=557.06,P<0.001),标准化偏回归系数显示,影响住院费用的因素从大到小依次为:是否手术(0.505)、住院天数(0.409)、医院类型(-0.177)、地区(-0.114)、药品费比例(0.110)、年龄组(0.028),R2=0.709。结论设法降低手术患者药费水平、住院日与药费占比,缩小地区间三级医院医疗技术水平差距、引导患者理性选择就医地点,可有效降低胃癌患者医疗费用负担。
Objective To understand the influencing factors of hospitalization expenses of patients with gastric cancer in tertiary hospitals in Shanxi Province and provide the basis for the formulation of relevant policies and measures by health and medical insurance authorities. Methods Multiple linear regression analysis was used to analyze the correlation between hospitalization costs and sex, age group, area, payment method, number of attending diagnosis, hospitalization days, and proportion of medical expenses in 41 tertiary hospitals in Shanxi Province. Results The regression model was statistically significant (F = 557.06, P <0.001). The standardized partial regression coefficients showed that the factors influencing hospitalization cost were as follows: whether surgery (0.505), hospitalization days (0.409), hospital type -0.177), area (-0.114), proportion of drug costs (0.110), age group (0.028), R2 = 0.709. Conclusions Trying to reduce the cost of surgery patients, the proportion of hospitalization days and medicine, narrowing the gap between the level of medical technology in tertiary hospitals in the region, and guiding patients to rational choice of medical treatment sites, can effectively reduce the burden of medical expenses in patients with gastric cancer.