山东省5县癌症患者治疗方式和医疗费用及其相关性分析

doi:10.6040/j.issn.1671-7554.0.2017.506

山东大学学报 (医学版) ›› 2018, Vol. 56 ›› Issue (6): 69-75.doi: 10.6040/j.issn.1671-7554.0.2017.506

山东省5县癌症患者治疗方式和医疗费用及其相关性分析

华星星¹,孙晓杰¹,赵德利²,刘卫东³,倪志松⁴,邹跃威⁵,马仲锋⁶,姚能亮⁷,王家林⁸,王海鹏¹

1.山东大学医药卫生管理学院国家卫生和计划生育委员会卫生经济与政策研究重点实验室山东大学卫生管理与政策研究中心, 山东济南250012;2.肥城市人民医院, 山东肥城 271600;3.临朐县卫生与计划生育委员会, 山东临朐 262600;4.滨州医学院烟台附属医院公共卫生科, 山东烟台 264100;5.乳山市疾病预防控制中心, 山东乳山 264500;6.汶上县疾病预防控制中心, 山东汶上 272501;7.弗吉尼亚大学公共卫生科学系, 弗吉尼亚州夏洛茨维尔 22908;8.山东省肿瘤医院山东省医学科学院, 山东济南 250117

发布日期:2022-09-27
通讯作者: 王海鹏. E-mail:wanghaipeng@sdu.edu.cn
基金资助:
美国中华医学基金会资助项目(13-160)

Correlation analysis of treatment methods and medical expenditures of cancer patients in five counties of Shandong Province

HUA Xingxing¹, SUN Xiaojie¹, ZHAO Deli², LIU Weidong³, NI Zhisong⁴, ZOU Yuewei⁵, MA Zhongfeng⁶, YAO Nengliang⁷, WANG Jialin⁸, WANG Haipeng¹

1. School of Medicine and Health Management, Shandong University, Key Laboratory of Health Economy and Policy of National Health and Family Planning Commission, Center for Health Management and Policy Reserch, Shandong University, Jinan 250012, Shandong, China;
2. Feicheng Peoples Hospital, Feicheng 271600, Shandong, China;
3. Health and Family Planning Commission of Linqu County, Linqu 262600, Shandong, China;
4. Department of Public Health, Yantai Affiliated Hospital of Binzhou Medical University, Yantai 264100, Shandong, China;
5. Rushan Center for Disease Control and Prevention, Rushan 264500, Shandong, China;
6. Wenshang Center for Disease Control and Prevention, Wenshang 272501, Shandong, China;
7. Department of Public Health Sciences, University of Virginia, Charlottesville 22908, Virginia, USA;
8. Shandong Cancer Hospital, Shandong Academy of Medical Sciences, Jinan 250117, Shandong, China)〓山〓东〓大〓学〓学〓报〓(医〓学〓版)56卷6期〓-华星星, 等.山东省5县癌症患者治疗方式和医疗费用及其相关性分析〓\=-

Published:2022-09-27

摘要/Abstract

摘要： 目的了解农村癌症患者治疗方式和医疗费用及其影响因素,以及治疗方式和医疗费用的关系。方法采取整群抽样和分层抽样相结合的方法,根据地理位置和经济发展水平,从山东省5个县(市)随机抽取1 003例2011~2013年确诊的乳腺癌(女)、肺癌、肠癌和胃癌等癌症患者进行问卷调查。结果采用单纯手术治疗、手术+化疗、中药治疗和其他治疗方式的癌症患者所占比例分别为21.1%、53.1%、8.7%、17.1%。医疗费用在2万以下、≥2万且<5万、≥5万且<8万和8万以上的癌症患者所占比例分别为16.3%、47.2%、20.8%、15.7%,确诊年龄、收入、癌症类型、疾病分期和治疗方式是影响医疗费用的主要因素。结论癌症患者医疗费用负担较重,治疗方式与医疗费用密切相关。建议早诊早治,规范临床路径,加大医疗保障对癌症患者的补偿力度。

关键词: 癌症, 治疗方式, 医疗费用, 相关性分析

Abstract: Objective To investigate the treatment methods and medical expenditures of cancer patients in rural areas and the relationship between them. Methods According to the geographical location and economic status, 1 003 cancer cases confirmed during 2011 and 2013 were randomly selected from five counties, including patients with breast cancer(female), lung cancer, intestinal cancer and gastric cancer. All patients were surveyed with questionnaire. Results The proportions of patients who were treated with surgery alone, surgery plus chemotherapy, traditional Chinese medicine and other treatments were 21.1%, 53.1%, 8.7% and 17.1%, respectively. The proportions of patients with medical expenditures <20 000, ≥20 000 and <50 000, ≥50 000 and <80 000 and ≥80 000 RMB were 16.3%, 47.2%, 20.8% and 15.7%, respectively. The influencing factors of medical expenditures were age, income, type of cancer, stage of disease and treatment type. Conclusion Cancer patients have to bear heavy medical expenditures, which are closely related to treatment methods. Early medical care, standardized clinical pathway and medical insurance can help to relieve patients’ financial burdens.

Key words: Cancer, Treatment method, Medical expenditure, Correlation analysis

中图分类号:

R195

华星星,孙晓杰,赵德利,刘卫东,倪志松,邹跃威,马仲锋,姚能亮,王家林,王海鹏. 山东省5县癌症患者治疗方式和医疗费用及其相关性分析[J]. 山东大学学报 (医学版), 2018, 56(6): 69-75.

HUA Xingxing, SUN Xiaojie, ZHAO Deli, LIU Weidong, NI Zhisong, ZOU Yuewei, MA Zhongfeng, YAO Nengliang, WANG Jialin, WANG Haipeng. Correlation analysis of treatment methods and medical expenditures of cancer patients in five counties of Shandong Province[J]. Journal of Shandong University (Health Sciences), 2018, 56(6): 69-75.

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山东省5县癌症患者治疗方式和医疗费用及其相关性分析

Correlation analysis of treatment methods and medical expenditures of cancer patients in five counties of Shandong Province

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