Analysis of hospitalization expenses structure and influencing factors of liver cancer patients withurban basic medical insurance
ZHANG Xiaoying1 LIANG Wenjie2 ZHU Xiao1 KANG Ping1
1.Department of Medical Insurance, Cancer Hospital Affiliated to Guangxi Medical University, Guangxi Zhuang Autonomous Region, Nanning 530021, China; 2.College of Information and Management, Guangxi Medical University, Guangxi Zhuang Autonomous Region, Nanning 530021, China
Abstract：Objective To analyze the influencing factors of hospitalization expenses of patients with primary liver cancer, and provide evidence for reducing the medical economic burden of patients. Methods In Nanning medical insurance for urban workers database, 209 discharge records diagnosed as primary liver cancer from January 2016 to June 2017 were collected. The descriptive analysis and multiple linearity regression were used to analyze the structure and influencing factors of hospitalization expenses for patients with liver cancer. Results The proportion of various expenses in the total hospitalization expenses of liver cancer patients were 40.00% of medicine costs, 22.27% of materials costs, 13.78% of inspection fees, 11.70% of laboratory expenses, and 11.10% of treatment expenses. The main influencing factors of hospitalization expenses were whether surgery, hospitalization days, age, gender, number of hospitalizations, and whether using critical illness insurance. Conclusion Hospitalization days, whether surgery, gender, age, number of hospitalizations, and whether or not to use critical illness insurance are factors influencing the total cost of hospitalization. In view of the heavier economic burden of liver cancer patients, it is recommended that the agencies of medical insurance for urban employees and hospitals adopt a single-disease fee-system to encourage hospitals to save costs in terms of benefits, shorter the number of hospital stays, and reduce the waste of medical resources.
2019, Vol. 16 
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