|
|
Analysis of hospitalization costs of acute leukemia patients in Beijing from 2015 to 2019 |
CHEN Yin1 HU Guangyu2 GUO Moning1▲ |
1.Beijing Municipal Health Big Data and Policy Research Center (Beijing Institute of Hospital Management), Beijing 100034, China;
2.Center for Health Policy and Management, Chinese Academy of Medical Sciences, Beijing 100020, China
|
|
|
Abstract Objective To analyze the trend of hospitalization expenses and its expense structure in acute leukemia inpatients, and to provide the data-based evidence for policy-making. Methods Descriptive, variance, and trend analyses of acute leukemia inpatient costs, cost structure were performed using inpatient case home data from 77 secondary and tertiary hospitals in Beijing from 2015 to 2019. Results The average cost of acute leukemia hospitalization in Beijing showed an increasing trend from 2015 to 2019 (P<0.05), the differences were statistically significant when comparing the average hospitalization subcosts among different age groups (P<0.05). The main treatment modality of hospitalization for patients with acute leukemia was chemotherapy, and there was a statistically significant difference in the average cost of hospitalization and the average cost of drugs among patients with chemotherapy at different ages (P<0.05). Conclusion The burden of hospitalization costs for acute leukemia patients in Beijing is still relatively high, and the cost of drugs and consumables contributes highly to the hospitalization burden but is on a decreasing trend. It is necessary to pay attention to the hospitalization cost burden of key populations such as children and the elderly, and to make separate calculations of their payment rates in combination with the characteristics of childhood leukemia.
|
|
|
|
|
[1] 李涛,柴培培,张毓辉,等.我国肿瘤治疗费用核算与筹资负担分析[J].卫生经济研究,2021,38(7):17-20.
[2] 杨瑞华,于丽华,常欢欢,等.急性髓样白血病患者住院费用影响因素及控制策略实证研究[J].中国卫生经济,2018,37(6):45-47.
[3] 林红,孙慧,雷晓婷,等.急性白血病患者医院感染直接经济损失病例对照研究[J].吉林医学,2018,39(10):1993- 1995.
[4] 王俊,张福来.医院感染对住院费用的影响研究——以儿童急性淋巴细胞白血病为例[J].卫生经济研究,2019, 36(1):26-28.
[5] 刘芸宏,王书会,王静娜,等.不同分型急性白血病患者医院感染直接经济损失研究[J].中国感染控制杂志,2016, 15(12):942-944,948.
[6] 杨颖蕾,李娜,蔡娇阳,等.上海某儿童医院2005-2017年间急性淋巴细胞白血病住院费用结构分析[J].解放军医院管理杂志,2020,27(3):239-242.
[7] 米文军,钱邦富,徐川. 恶性肿瘤住院费用及影响因素分析[J].中国病案,2022,23(5):42-45.
[8] 薛明.2010—2017年我国白血病次均费用分析[J].中国卫生统计,2019,36(2):196-199.
[9] 吴双,常锐霞,席亚明,等.2003~2012年白血病患者住院费用变化及影响因素分析[J].中国卫生信息管理杂志,2015,12(3):308-314.
[10] 国家统计局.全国卫生资源与医疗服务统计调查制度[EB/OL].(2018-08-06)[2021-12-31].http://www.stats.gov. cn/tjfw/bmdcxmsp/bmzd/201808/t20180806_1614237.html.
[11] 国家医疗保障局办公室.关于印发疾病诊断相关分组(DRG)付费国家试点技术规范和分组方案的通知(医保办发﹝2019﹞36号)[EB/OL].(2019-10-16)[2022-04- 10].http://www.gov.cn/zhengce/zhengceku/2019-11/18/content_5562261.htm.
[12] 北京市统计局.北京市2019年国民经济和社会发展统计公报[R/OL].(2020-03-02)[2021-12-31].http://www.beijing.gov.cn/gongkai/shuju/tjgb/202003/t20200302_1838 196.html.
[13] Pandya BJ,Chen CC,Medeiros BC,et al. Economic and Clinical Burden of Acute Myeloid Leukemia Episodes of Care in the United States:A Retrospective Analysis of a Commercial Payer Database [J]. J Manag Care Spec Pharm,2020,26(7):849-859.
[14] 中华人民共和国国家卫生健康委员会.骨髓增生异常综合征伴原始细胞增多(MDS-EB)诊疗指南(2022年版)[J].全科医学临床与教育,2022,20(6):483-485.
[15] 胡云鹤,冯国双,于凡,等.以病种为基础分析医药分开综合改革对肿瘤患者住院费用的影响[J].中国医院,2020,24(1):39-41.
[16] 许轲,杨剑,邱亭林.应用中断时间序列分析肿瘤患者住院费用变化趋势[J].中国肿瘤,2022,31(5):374-379.
[17] 阮媛,邵晓宇.北京市医药分开背景下医院住院患者就医行为及费用变化趋势分析[J].中国社会医学杂志,2021, 38(3):313-316.
[18] 魏添添,祝贺,刘晓云.北京市公立医院综合改革对医疗机构技术劳务收入的影响分析[J].中国卫生政策研究,2021,14(4):1-10.
[19] 国家卫生健康委.关于开展儿童白血病救治管理工作的通知(国卫医发〔2018〕16号)[EB/OL].(2018-08-28)[2022- 04-10].http://www.nhc.gov.cn/yzygj/s7659/201808/292068 397fd840c588e4909956a05cfe.shtml.
[20] 国家卫生健康委.关于开展儿童血液病、恶性肿瘤医疗救治及保障管理工作的通知(国卫医发〔2019〕50号)[EB/OL].(2019-08-01)[2022-04-10].http://www.nhc.gov.cn/cms-search/xxgk/getManuscriptXxgk.htm?id=99cef5c66 6ed452da1c133248a94a0a6.
[21] 国家卫生健康委办公厅.国家卫生健康委办公厅关于进一步做好儿童重大疾病救治管理工作的通知(国卫办医函〔2020〕22号)[EB/OL].(2020-01-15)[2022-04-10].http://www.nhc.gov.cn/yzygj/s7659/202001/e458d9dd2806 40f388202bd665606127.shtml.
[22] 徐楠,顾雪非,向国春.中国儿童医疗保障政策述评[J].卫生经济研究,2020,37(3):32-35.
[23] 张沁洁.中国儿童医疗保障的家庭依赖度研究——以4180个样本为例[J].卫生经济研究,2022,39(4):11-14.
[24] 王黎,沈志祥.老年急性髓系白血病的特点和治疗策略[J].中华血液学杂志,2013,34(1):76-79.
[25] Bell JA,Galaznik A,Farrelly E,et al. Economic burden of elderly patients with acute myeloid leukemia treated in routine clinical care in the United States [J]. Leuk Res,2018,71:27-33.
|
|
|
|