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| Study on the influencing factors of direct economic burden and medical insurance system of lung cancer patients in Shandong Province |
| Wang Cuijuan1, Shang Ming2, Tong Feng2 |
1 Shandong Academy of Occupational Health and Occupational Medicine, Jinan 250062, China;
2 Shandong Cancer Hospital |
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Abstract Objective On the analysis of the lung cancer patient′s hospitalization costs, by the estimation of the direct economic burden of patients, to provide references for strengthening the management of hospital medical costs and the medical service management of medical insurance department, formulating cost control measures, and utilizing rationally the limited medical funds and health resources. Methods By questionnaires and interviews we obtained basic data, and by using SPSS 16.0 statistical analysis software we conducted the descriptive statistical analysis, single factor analysis and multivariate analysis of the research indicators. Results The direct economic burden of patients with lung cancer before and after compensation was 59 449 yuan and 34 023 yuan respectively, 2.03 times and 1.16 times of per capita disposable income of urban residents in Shandong Province in 2014. Hospitalization expenses accounted for about 85% of the direct economic burden of lung cancer patients, so controlling the hospitalization cost was critical to releasing the direct economic burden. The actual reimbursement ratio of the medical insurance was low, and though the direct economic burden of lung cancer patients was reduced through compensation, it amounted to more than 50%. further The situation needed to be improved. Conclusion We should increase the proportion of medical insurance compensation, improve medical insurance compensation scheme, strengthen hospital management, normative diagnosis and treatment, reduce the length of hospital stay, reduce the inpatient expenses, strengthen publicity and education for early diagnosis and early treatment, prevent diseases earlier, and strengthen the prevention and treatment of malignant tumor.
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Received: 15 June 2016
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