| 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. |
| 肿瘤患者医疗保险的情况分析：中国东北部地区大型医院10年回顾性分析 |
| 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 |
| DOI：10.1007/s10330-015-0067-y |
| 中文关键词: 医疗保险；肿瘤患者；回顾性研究； |
| 英文关键词: medical insurance; cancer inpatients; retrospective study |
| 基金项目:辽宁省科技攻关课题，项目编号：2013225220 |
| Author Name | Affiliation | E-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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| 中文摘要: |
| 目的：分析肿瘤患者在不同支付方式和影响因素下的住院费用，为更好的制定医疗保险政策提供依据和参考。方法：收集2001-2010年间沈阳地区多家三级甲等医院患者的住院信息，包括住院时间，住院花费，自费比例，并对数据进行数理统计分析。结果:不同付款方式的肿瘤患者的数量均呈增加趋势，纳入医疗保险的患者数理持续快速增长，但仅占较小比例；肿瘤患者住院时间缩短，但住院间隔变小，患者住院花费呈上升趋势，且不同患者间差异显著，进一步研究发现其花费与政策调控密切相关。结论：随着肿瘤治疗正规化规范化发展，住院费用对肿瘤治疗的影响越来越小，而医疗政策对控制住院费用，减轻肿瘤患者负担和合理分配医疗资源的影响越来越显著，医疗政策正成为解决医疗费用的重要手段。 |
| 英文摘要: |
| 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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