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


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



elderly patients with lung cancer, hospitalization cost


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.


Chen Jindong.Current status and development trend of morbidity and mortality of various types of cancer in China [J].Journal of Zunyi Medical College, 2018,41 (06): 653-662.

Molinier L ,Combescure C,C Chouaïd,et al.Cost of lung cancer: a methodological review.[J].Pharmacoeconomics,2006,24(7):651-659.

GBD 2013 Mortality and Causes of Death Collaborators.Global, regional, and national age-sex specific all-cause and cause-specific mortality for 240 causes of death,1990-2013:a systematic analysis for the Global Burden of Disease Study 2013.[J].Lancet(London, England),2015,385(9963):117-71.

Mingzhu Su BSN,Jiahui Lao MS,Nan Zhang MS,et al.Financial hardship in Chinese cancer survivors[J].Cancer,2020,126(14):3312-3321.

Guo Weiwen, Mei Wenhua, Guo Wenyan.Analysis of the change trend of patients in a tertiary public hospital in a city [J].China Ill., 2018,19 (08): 66-70.

Kosakawa, Yu Huiqiang, Zhou Tong,class. A new grey association analysis method [J].China Health Statistics, 1999 (01): 51-52.

Guo Min, Jin Jibin, Guo Changman, et al.Analysis of the inflow population of Binhai New Area of Tianjin [J].China Health Statistics, 2018,35 (2): 242-245.

Ou Jiaxin, Zhu Hong, Zhang Yuanni, et al.Study on the structural change of inpatient cost in General Public Hospitals of Guangdong Province from 2017 to 2019 [J].Health Economy in China, 2021,40 (06): 71-74.

Luo Guosheng, Feng Qiming, Gao Hongda, et al.Analysis on the hospitalization cost and composition change of grade 3 hypertension patients in a large third-class A hospital in Guangxi from 2012 to 2016 based on structural variability [J].Guangxi Medicine, 2019,41 (19): 2465-2469.

Cheng enlightened.Characteristics and Application of the Structural Equation Model [J].Statistics and Decision-making, 2006, (10): 22-25.

Wan Chonghua, Luo Jiahong.Advanced Medical Statistics [M].Beijing: Science Press, 2014:218.

Mary, Da Zhenqiang, best wishes, etc.Analysis of influencing factors and verification of structural equation model for large hospitalization costs in a hospital [J].Health Statistics of China, 2020,37 (1): 59-60,65.

The Guangxi Zhuang Autonomous Region Bureau of Statistics. In 2016, the income of urban residents in Guangxi increased steadily [EB / OL].,2017-03-10/2021–11–01.

Du Liang, Zhu Xue, Zhang Yu, et al.Prediction analysis of hospitalization costs and their change trends in lung cancer patients [J].Modern preventive Medicine, 2019,46 (18): 3377-3380,3389.

Hu Anxia, Pei Zhongyang, Yan Juanjuan, et al.Hospitalization costs and influencing factors in elderly lung cancer patients [J].Chinese Journal of Gerontology, 2019,39 (20): 5111-5113.

Zhang Limin, Wu Jingtao, Yu Chuanhua, et al.Analysis of the cost changes and causes of lung cancer inpatients in a third A hospital from 2004 to 2017 [J].Chinese Hospital Statistics, 2019,26 (6): 429-431,434.

Li Jingjing.The Effect of Psychological Nursing and Health Education on the Quality of Life in Elderly Lung Cancer Patients [J].Medical Equipment in China, 2017,32 (S2): 93-94.

Chen Hongshui, Leng Jiahua, Gao Guangying, etc.Analysis of hospitalization costs and their influencing factors [J].Health Economy in China, 2014,33 (7): 57-60.

Xu Juanjuan, Li Runhua, Cheng Bin, et al.Study on hospitalization costs and influencing factors of 7387 lung cancer surgery patients in Zhejiang Cancer Hospital [J].China, 2020,29 (12): 957-961.

Xiao Haifan, Liao Xianzhen, License Kui, et al.Analysis of hospitalization costs of 1542 lung cancer patients from 2002 to 2014 [J].China, 2016,25 (5): 338-344.

Wang Tingting, Yu Lihua, Lang Jingjing, et al.Analysis of hospitalization cost of lung cancer surgery patients based on structural equation model [J].Health Economy in China, 2019,38 (6): 61-63.

Sang Weidong.Analysis of hospitalization costs and influencing factors in patients with middle and advanced non-small cell lung cancer [J].Journal of Jiujiang College (Natural Science edition), 2012,27 (4): 92-94.

Feng Ying.Effect of disease diagnosis-related grouping on the increase of medical costs in control medical institutions [J].Pharmaceutical economics of China, 2021,16 (5): 22-26,32

Liao Zangyi, blue Zhicheng.Effect and core Experience of Liuzhou DRG-point Method [J].Medical Insurance of China, 2020 (09): 18-22.

Wang WT,He B,Wang YH,et al.The relationships among Muslim Uyghurand Kazakh disabled elders' Life satisfaction,activity of daily living,and informal family care giver's burden,depression,and Life satisfaction in far western China:A structural equation model[J].International Journal of Nursing Practice,2017,23(2):e12521.






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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: