摘要
目的描述2013-2016年全国不同属性医院前列腺癌的次均费用变化趋势,并分析出现该趋势的主要原因。方法使用SAS 9.3清洗数据,并编制2013-2016年全国分肿瘤专科医院、综合二级医院、综合三级医院次均费用表格,使用excel 2013计算各分费用的年均增长速度,并对前列腺癌的细分费用变化情况进行统计描述与分析。结果2013-2016年前列腺癌次均细分费用中耗材费、手术费和化验费均有所上升,药费占比最高,下降速度明显,护理费也呈下降趋势。结论医改控费效果逐步显现,次均费用有所下降;医务人员的劳动价值,增收服务费为主的经济补偿机制逐步建立;应注意控费政策的可持续性。
Objective To describe the tendency of average hospitalization cost of prostate cancer in different hospital property from China in 2013 to 2016,and analyze the main reason. Methods Using SAS 9.3 for data cleaning and compiling the average hospitalization cost of prostate cancer form of the national cancer specialist hospital, comprehensive secondary hospi- tal and comprehensive tertiary hospital from 2013 to 2016, and making cost change trend diagram by using excel 2013 then ana- lyze the average annual growth rate of each subdivision, and calculating the changes of subdivision cost of prostate. Results From 2013 to 2016, the average hospitalization subdivision cost of prostate cancer, the material fee, the test fee and the operation fee were increased, while the medicine fee which accounted for the highest decreased greatly, and nursing fee was also declining. Conclusion The effect of health care reform was gradually revealed, and the average hospitalization cost of prostate cancer de- creased. Becoming more receptive to the labor value of medical workers, and the economic compensation mechanism was gradu- ally established： but we should also pay attention to the sustainability of the policy.
作者
严宝湖
蔡玥
沈忠周
马帅
王雅文
薛明
江宇
Yan Baohu;Cai Yue;Shen Zhongzhou(School of Public Health, Chinese Academy of Medical Sciences ＆ Peking Union Medical College（100730） ,Beijing)
出处
《中国卫生统计》
CSCD
北大核心
2018年第3期359-361,367,共4页
Chinese Journal of Health Statistics
基金
国家自然科学基金(71403189)
关键词
前列腺癌
次均费用
医院属性
趋势
Prostate cancer
Average hospitalization cost
Hospital property
Tendency
作者简介
通信作者：薛明，E-mail：xueming@nhfpc．gov．cn.;通信作者：江宇，E-mail：wingedsky@gmail．com．
