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Analysis on hospitalization expenses and its influencing factors of breast cancer patients in a tertiary hospital in Hainan Province |
Tu Aixian,Zhu Hongrui |
Hainan Medical College, Haikou 571199, China |
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Abstract Objective To investigate the inpatient cost of breast cancer patients and analyze its influencing factors, so as to provide basis for reducing the medical cost burden of breast cancer patients and establishing reasonable medical insurance system.Methods The inpatient cost information of 1 279 patients with breast cancer in a tertiary hospital in Hainan Province in 2020 was collected. Descriptive analysis, rank sum test and multiple linear regression were used to analyze the hospitalization cost structure of breast cancer patients and its influencing factors. Results Pharmaceutical expenses accounted for the largest proportion (44.34%) in the structure of hospitalization expenses, treatment expenses, material expenses, surgery expenses, and bed expenses accounted for 14.49%, 4.21%, 2.76%, and 2.22% respectively, and other expenses totaled 31.97%. In the amount of medical insurance pooling payment, the amount of medical insurance pooling payment for urban worker patients (8 903.00 yuan) was higher than that for urban and rural residents (7 871.00 yuan). Univariate analysis showed that length of stay and treatment mode had influence on hospitalization cost. Multiple linear regression analysis showed that the length of stay and treatment mode were the main factors affecting hospitalization costs, and their standardized regression coefficients were 0.607 and 0.252, respectively.Conclusion It is necessary to improve the awareness of the prevention and treatment of breast cancer in the whole society, rationally control hospitalization days and drug proportion to reduce hospitalization expenses, and adjust the level of medical insurance treatment to reduce the burden of patients.
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Received: 08 October 2021
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