Zhendong Zheng,Lu Wang,Quanwei Fu,Tao Han,Xiaodong Xie. Analysis of the effect of medical insurance on cancer inpatients: A 10-year retrospective study on a large hospital in Northeast China. Oncol Transl Med, 2015, 1: 284-288.
Analysis of the effect of medical insurance on cancer inpatients: A 10-year retrospective study on a large hospital in Northeast China
Received:January 27, 2015  Revised:October 12, 2015
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KeyWord:medical insurance; cancer inpatients; retrospective study
Author NameAffiliationE-mail
Zhendong Zheng Department of Medical Oncology, The General Hospital of Shenyang Military Region, Shenyang 110015, China 86187503@qq.com 
Lu Wang Department of Medical Oncology, The General Hospital of Shenyang Military Region, Shenyang 110015, China xiao.-163@163.com 
Quanwei Fu Department of Medical Insurance, The General Hospital of Shenyang Military Region, Shenyang 110015, China than1984@aliyun.com 
Tao Han Department of Medical Oncology, The General Hospital of Shenyang Military Region, Shenyang 110015, China crzs281@tom.com 
Xiaodong Xie Department of Medical Oncology, The General Hospital of Shenyang Military Region, Shenyang 110015, China 86187503@qq.com 
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Abstract:
      Objective: The aim of the study was to analyze hospital costs for cancer inpatients availing different methods of payment and the influencing factors, to provide inputs to improve the medical insurance payment policy. Methods: We analyzed the information related to length of hospital stay, hospitalization cost, and self-pay cost, collected from one large-scale, Grade A, Class Three hospital in Shenyang, China, during 2004–2013. Results: The number of cancer inpatients with different payment types (medical insurance group and non-medical insurance group) presented a rising trend. Further, the ratio of medical insurance inpatients increased rapidly (from 22.2% to 48.7%); however, this group was still a minority. The length of hospital stay became shorter (21 d vs. 17 d; P = 0.000) while the gap got narrower; the hospitalized expense showed an upward trend and the difference was remarkable (¥24048.6 ± ¥4376.28 vs. ¥20544.36 ± ¥4057.01; P = 0.000). Conclusion: Along with normalization of cancer therapy, the influence of payment on treatment has been getting weak, the policy has impact on controlling hospitalization cost, lightening burden of cancer patient, as well as allocating medical resources in a reasonable way, becoming an important defray pattern of hospitalization cost.
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