The Study on hospitalization expenses of elderly patients with lung cancer in the Western region of China

Authors

  • Nan Jiang Mahasarakham University
  • Vorapoj Promasatayaprot Faculty of Public Health, Mahasarakham University
  • Hong Da Gao Guangxi Medical University, China

DOI:

https://doi.org/10.62992/ijphap.v1i1.4

Keywords:

elderly patients with lung cancer, hospitalization cost

Abstract

Abstract: [Purpose] By collecting the medical record information of hospitalization cost(HC) of the elderly over 60 years old, to comprehensively analyze the influencing factors of the rise of HC from the internal and external dimensions, so as to put forward targeted measures and suggestions to control the excessive growth of HC.  [Methods] Taking a tertiary hospital in Guangxi as a sample, the medical record home page data of lung cancer patients over 60 years old from 2012 to 2016 were collected, and the influencing factors of HC were analyzed. Grey Relation Analysis and Structural Variation Degree are used in the analysis of internal influencing factors. Structural Equation Model is used in the analysis of external influencing factors.  [Results] The HC of elderly patients with lung cancer increased year by year from 2012 to 2016. The structural variation degree of HC from 2015 to 2016 was the largest, which was 12.812%. The grey relation analysis results showed that the correlation degrees of medicine cost, examination cost and consumables cost were 1.000, 0.8606 and 0.7559 respectively, which were the main internal factors affecting HC. The structural equation model shows that the length of stay, whether to operate, rehospitalization plan, the number of complications, occupation and hospitalization frequency have an impact on the HC and their total impact effects are 0.688, 0.428, 0.221, 0.184, 054 and 0.044 respectively.  [Conclusion] The HC of elderly patients with lung cancer are increasing year by year, but the increase rate is reasonable. The cost of medicine and consumable have been solved to a certain extent, while the examination cost still needs to be further controlled. The length of stay is still the main influencing factor, and other factors will indirectly affect the hospitalization cost through this factor.

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01-12-2022

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1.
The Study on hospitalization expenses of elderly patients with lung cancer in the Western region of China. IJPHAP [Internet]. 2022 Dec. 1 [cited 2024 Jun. 20];1(1). Available from: https://ijphap.com/index.php/home/article/view/4