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Study on the Hospitalization Expenses and Its Affecting Factors of Lung Cancer Patients

Author: LiuXingHe
Tutor: XuLingZhong
School: Shandong University
Course: Social Medicine and Health Management
Keywords: Lung cancer hospital fees affecting factors analysis of multi-factor regression
CLC: R197.3
Type: Master's thesis
Year: 2008
Downloads: 251
Quote: 3
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Abstract

BackgroundAt present, China’s health care reform is at a critical period, the key of whose effective operation is to control the rising medical costs. In recent years, medical expenses of our country has increased at a rate of 30% yearly, far exceeding the GDP growth rate, which is bound to affect China’s economic development and people’s living standards. Therefore, how to control the rapidly rising medical costs has become a serious problem. In the constitution of medical expenses, hospital fees account for a larger proportion and so cause a most concern. To effectively control the rising cost of health care, particularly of the hospital costs, it need to find out the affecting factors of hospital fees. At present, the cost of health care around the deepening of reform of the management system, the diseases of the statistical analysis of medical expenses for medical expenses to further deepen the reform of the system to provide valuable reference. The use of scientific methods of single disease hospital for medical expenses, on the effective use of health resources, and make the best health care benefits and guarantee the quality of health care, control health care costs increase with the degree of loss of important practical value.ObjectiveThis study is to systematically analyze in-patients fees of lung cancer had by utilizing the common 6-year-patient medical expenses in Inner Mongolia National University Hospital. The analysis methods include comparative analysis of time series and affecting factors regression analysis. Through analyzing the distribution and its impact factors of in-patient fees, provide a reference for hospital managers to effectively control the cost of hospital fees, improving the hospital’s development.MethodsInvestigation of the choice of Inner Mongolia National University Hospital (tertiary-level hospital), finishing the year 2001-2006 for each of the discharge diagnosis of lung cancer in-patient medical records and billing information for the hospital fees. First of all, according to the People’s Health Publishing House national institutions of higher medical teaching sixth edition of "Science", on the basis of lung cancer diagnosis and determine the criteria included in the case, not out of line with the conditions of in-patient case studies, a total of 6 years has been suffering from lung cancer A total of 534 valid copies of medical records, Included in this study, the composition of their hospital fees, as time changes, as well as the factors that affect the cost of hospitalization for analysis. The survey of the statistical methods used for descriptive analysis, regression analysis and time series analysis comparing the use of statistical software package is SPSS13.0 statistical analysis software for statistical analysis.ResultsThe results of this study is more abundant, including: (1) Overall, the cost of patient medication in order to constitute the largest share, 34.3 percent to 49.5 percent. (2) public health and medical insurance to participate in the high cost of hospitalization. (3) the cost of hospitalization and length of hospital stay of the relevance of the findings revealed that the cost of hospitalization and length of hospital stay of the Pearson correlation coefficient 0.782, p<0.001, That the cost of hospitalization and length of hospital stay in a straight line between the positive correlation. (4) multi-factor regression analysis showed that affect the cost of hospitalization a wide range of factors, including the length of stay, in the form of burden, the number of days of hospitalization, anesthesia and associated diseases, and so on the way. One length of hospital stay influencing the cost of hospitalization of a very important factor.Conclusions and recommendations(1) reasonable charges, a reduction in the cost of drugs and avoid drug abuse, put an end to an undesirable situation; (2) reasonable inspection, to avoid over-inspection, over-testing to reduce the burden on patients; (3) changed technologies and drugs charges the price inversion The status quo; (4) to strictly curb the use of one-time items, medical equipment and the lower one-time price of medical supplies; (5) to enhance the operational capacity of health care, strengthen the medical ethics education; (6) the establishment of community health service system to meet the needs of residents and health services, reduce in-patient medical expenses; (7) to strengthen quality control of diseases, control the cost of single disease ; (8) to improve medical services compensation mechanism to adjust the price of medical services, medical expenses to carry out macro-control.

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CLC: > Medicine, health > Preventive Medicine,Health > Health care organizations and career ( Health Management ) > Health care systems and institutions > Hospitals, general hospitals
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