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《Chinese Hospital Management》 2010-07
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A Retrospective Survey and Analysis of Hospitalization Expenses and Related Factors of Lung Cancer in Cancer Hospitals

ZHOU Cai-hong, ZHANG Li-jian, XIONG Hong-chao, et al.Cancer Institute and Hospital, Chinese Academy of Medical Sciences, Beijing, 100021, China  
Objective To explore retrospectively the main factors influencing the hospitalization expenses of lung cancer so as to provide policy suggestions for the control of irrational increase of medical expenses.Methods The data of lung cancer (190 inpatients were selected at random) were collected.T test, ANOVA and multiple stepwise regression analysis were used to screen age, sex, type of payment, number of admissions, complications, antibiotics used postoperation, savage, condition of leaving hospital, stage, operating time, days of preoperation, hospital stay and so on, to identify the major factors influencing the hospitalization expenses.Results There are significant differences of patients' at their own expense, number of admissions, operation time pre-operative time and hospital stays.The main influencing factors of the hospitalization expenses including cases resource, days of preoperation, the length of stay and number of admissions.The high proportion of Chinese and Western medicine costs compared with the low proportion of operationd technological item costs.Conclusion Health care system should be perfected.The protocol for the treatment of lung cancer should be developed.Mechanism of early diagnosis is the key to control hospitalization expenses.
【Fund】: 首都医学发展科研基金项目(2005-1041)
【CateGory Index】: R195
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