肺癌的住院患者负担和医院绩效改革后的变化:一个真实世界的研究研究
Binbin Han1,2, Xiaofang Chen1
1School of Management, Wuhan University of Technology, Wuhan, Hubei, China.
Frontiers in oncology
|February 11, 2026
概括
2018年中国的一项医院绩效改革使肺癌患者的住院时间 (LOS) 每月减少1.6%. 然而,每日住院费用每月增加了2.1%,这表明效率和资源使用的转变.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 医院管理 医院管理
背景情况:
- 肺癌显著影响三级癌症中心的住院护理.
- 关于医院绩效改革对住院患者效率和肺癌患者成本的影响的证据有限.
研究的目的:
- 评估医院基于绩效的管理改革与肺癌患者的住院效率和成本之间的关联.
- 评估改革后住院时间 (LOS) 和每日住院费用的变化.
主要方法:
- 使用来自中国三级癌症医院的住院管理数据 (2016-2020年) 的回顾性研究.
- 间断时间序列分析 (ITSA) 和多变量患者级回归分析.
- 比较改革前 (2016-2017) 和改革后 (2019-2020) 期间,分析损失和日常成本.
主要成果:
- 总共分析了25331例肺癌住院病例.
- 在改革后,LOS每月下降1.6% (p < 0.001),而每日成本每月上升2.1% (p < 0.001).
- 患者层面的分析显示,改革后的LOS缩短了16.0%,每日成本增加了31.9%.
结论:
- 2018年医院绩效改革与住院时间缩短,但肺癌患者的每日费用更高有关.
- 研究结果表明,住院患者的效率和资源利用强度同时发生变化.
- 强调需要补充指标来评估瘤治疗中的医院管理改革.
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