Surgical cost analysis and management recommendations for gastric cancer patients in a third-level general hospital in Southwest China
GU Yonghong1,2 CHEN Yilong1,2 YING Zhiye1,2 ZHANG Pengfei1 CUI Huanhuan3 ZHU Ting1,2 ZENG Xiaoxi1,2 SUN Lin3▲
1.Center of Biomedical Big Data, College of Clinical Medicine, West China Hospital Sichuan University, Sichuan Province, Chengdu 610041, China;
2.Center of Medical Big Data, Sichuan University, Sichuan Province, Chengdu 610041, China;
3.Office of Medical Insurance, College of Clinical Medicine, West China Hospital Sichuan University, Sichuan Province, Chengdu 610041, China
Abstract：Objective To analyze the cost, cost composition and influencing factors of gastric cancer surgery patients in a third-level general hospital in Southwest China, and to provide a reference for the management and decision-making of medical institutions, medical insurance institutions and health regulatory agencies. Methods Descriptive statistics, single factor correlation analysis and multiple linear stepwise regression were used to analyze the average cost of hospitalization for gastric cancer surgery patients (5868 person-times) and influencing factors from January 2011 to December 2017 in a large tertiary general hospital in Southwest China. Results From 2011 to 2017, the average cost of hospitalization for gastric cancer patients in the top three hospitals was 59 186.46 yuan. The examination expenses, surgical expenses, and nursing expenses per time of gastric cancer surgery patients were constituted an increasing trend. Old age, long hospital stay, type of healing, male, presence of comorbidities and complications, total gastrectomy and year were risk factors for the cost of gastric cancer surgery (OR ＞ 1, P ＜ 0.05), while the type of incision and other types of surgery were the protective factors for the cost of gastric cancer surgery (OR ＜ 1, P ＜ 0.05). Conclusion Medical expenses are increasing rapidly, and the status of expenses reflecting the labor value of medical workers has improved, howere, it is still at a low level. The relatively controllable factors affecting medical expenses are mainly the length of hospital stay.
2020, Vol. 17 
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