目的 探究江苏省500例非小细胞肺癌(NSCLC)患者住院费用情况及其影响因素.方法 随机选取2020年1月1日-2022年1月31日期间某市3家医疗机构的500例NSCLC患者作为调查对象,收集研究对象的临床信息以及住院费用明细,NSCLC患者的住院费用水平及材料费、药费、手术费等各项费用支出构成情况,多因素Logistic回归模型分析NSCLC患者住院费用影响因素.结果 NSCLC患者的平均住院费用为(7.04±1.83)万元,材料费、药费项目支出占比最高,两项费用占比分别为62.45%、18.45%.年龄≥60岁、合并并发症NSCLC患者的住院费用明显升高(P<0.05).自费、手术治疗、住院天数≥30天、三级医院、肿瘤专科医院NSCLC患者的住院费用明显升高(P<0.05).NSCLC患者住院费用增加的独立危险因素包括年龄≥60岁、合并并发症、自费、手术治疗、住院天数≥30天、三级医院、肿瘤专科医院.结论 NSCLC患者具有较高的住院费用,其中主要支出项目是材料费、药费,费用变化受到多项因素影响,应从年龄、付费方式、并发症、手术方案、住院情况等方面综合考虑选择最优化的治疗方案,有助于降低患者的住院费用.
Objectives This study aims to investigate the hospitalization expenses and influencing factors of 500 non-small cell lung cancer(NSCLC)patients in Jiangsu Province.Methods 500 NSCLC patients from 3 medical institutions in a certain city between January 1,2020 and January 31,2022 were randomly selected as the survey subjects.The clinical information of the research subjects and details of hospitalization expenses,as well as the level of hospitalization expenses of NSCLC patients and the composition of various expenses such as material expenses,drug expenses,and surgical expenses were collected.Multivariate Logistic regression model was used to analyze the influencing factors of hospitalization expenses of NSCLC patients.Results The average hospitalization cost of NSCLC patients was(7.04±1.83)yuan.Material expenses and medicine expenses accounted for the highest proportion of expenditures,accounting for 62.45%and 18.45%respectively.Hospitalization costs for patients aged ≥60 years and with NSCLC complications were significantly higher(P<0.05).The hospitalization expenses of NSCLC patients at self-payment,surgical treatment,hospitalization days ≥ 30 days,tertiary hospitals,and cancer-specialized hospitals were significantly higher(P<0.05).Independent risk factors for increased hospitalization expenses in NSCLC patients included age ≥60 years old,complications,self-payment,surgical treatment,hospitalization days ≥ 30 days,tertiary hospitals,and cancer specialty hospitals.Conclusions NSCLC patients have a high hospitalization cost,of which the main expenditure items are material cost and drug cost.Cost changes are affected by many factors.The optimal treatment plan should be selected based on comprehensive considerations such as age,payment method,complications,surgical plan,hospitalization status,etc.,which will help reduce the patient's hospitalization costs.