徐文英, 师伟, 陈鹏. 新疆恶性肿瘤病人住院时经济负担的分析[J]. 疾病监测, 2006, 21(1): 38-41. DOI: 10.3784/j.issn.1003-9961.2006.1.38
引用本文: 徐文英, 师伟, 陈鹏. 新疆恶性肿瘤病人住院时经济负担的分析[J]. 疾病监测, 2006, 21(1): 38-41. DOI: 10.3784/j.issn.1003-9961.2006.1.38
XU Wen-ying, SHI Wei, CHEN Peng. Analysis of economic burden of malignant tumor in-patients in Xinjiang[J]. Disease Surveillance, 2006, 21(1): 38-41. DOI: 10.3784/j.issn.1003-9961.2006.1.38
Citation: XU Wen-ying, SHI Wei, CHEN Peng. Analysis of economic burden of malignant tumor in-patients in Xinjiang[J]. Disease Surveillance, 2006, 21(1): 38-41. DOI: 10.3784/j.issn.1003-9961.2006.1.38

新疆恶性肿瘤病人住院时经济负担的分析

Analysis of economic burden of malignant tumor in-patients in Xinjiang

  • 摘要: 目的计算恶性肿瘤患者住院期间直接经济负担和间接负担,为制定恶性肿瘤家庭防治策略提供依据。方法现场调查恶性肿瘤病人住院时各种费用及陪护情况,并与当地提供的住院陪护价格相比较。结果206例恶性肿瘤病人住院一次家庭总的费用支出为5272996元,其中直接经济负担为4874093元,占总负担的92.43%,每个家庭的平均直接负担为23660.64元,间接经济负担为398903元,占总负担的7.57%,每个家庭的平均间接负担为1936.42元。恶性肿瘤病人治疗费用在直接经济负担中所占比重较大,以治疗费用比同期的家庭收入大于4进行logistic回归分析,选入变量为家庭人口、确诊至今时间、病程、本次住院天数和医疗保障形式5个影响因素;间接经济负担以住院陪护为主,晚期病人的陪护损失要高于早期和中期病人。结论晚期恶性肿瘤病人的住院费用大,住院时间长,陪护负担重,应从家庭角度出发提倡晚期癌症病人回归社区、回归家庭。

     

    Abstract: Objectives The present study was to calculate the economic burden,both direct and indirect.of malignant tumor patients in hospital so that information could be offered for establish-ing the family prevention sTRategy for malignant tumors Methods On-site survey was employed to fmd Out all expenses and the chaperon and care status when malignant tumor patients were in hospital,which would be compared with local ptice for in—patient caie Results The total family expense for 206 malignant tumor patients hOspitalized once was¥5,272,996 yaan,including the direct economic burden ¥4,874,093 yuan,which accounted for 92.43%of all economic burden,and the indirect economic burden¥398,903 yuan,which accounted for 7,57%of all economic burden.The average direct burden for each family was¥23,660,64 yuan,whereas the average in-direct burden was¥1,936,42 yuan,The treatment expense of malignant tumor patients accounted for the most of all indirect burdens In Logistic regression analysis Where the ratio of treatment ex-pense to family income of the correspondlng period is 4,five influential factors including number of family members,time counted from the final diagnosis,course,days in hospital this time and medical security mode Indirect economic burden was mainly attributed t0 the chaperon and care in hospital,the cost of which among patients in advanced stage was higher than that among pa-tients in clementary and middle stages Conclusion As for malignant tumor patients in advanced stage,in view of their high COSTS and long time in hospital.And heavy burdens for the chaperon and care,they might as well return to their communities and families in favor of their own families

     

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