Analysis of hospitalization expenditures among 3287 gastric carcinoma inpatients in general hospital

Objective To explore the influencing factors of hospitalization expenditure of gastric carcinoma inpatients and to provide evidence for perfecting medicine security system and preventing gastric carcinoma.Methods The data on hospitalization expenditure of 3 287 gastric carcinoma inpatients in general hospital of Shanxi province were analyzed with descriptive analysis,rank test and multiple stepwise regression model.Results Admission rate of gastric carcinoma was increasing continually from 2002 to 2008.The number of gastric carcinoma inpatients in 2008 was 1.8 times more than that of 2002.The average time of hospitalization was 17 days in 2005.After adjusted by price index,the average hospitalization expenditure increased with an average annual growth rate of 13.5%.The average hospitalization expenditure in 2008 was 2.5 times more than that of 2002.Except the lower growth rate of 1.18% in 2006,the average hospitalization expenditure increased yearly.The proportion of medicine expenditure was bellow 40% and showed a downword trend.The main influencing factors of hospitalization expenditure of gastric carcinoma inpatients were days of hospitalization,proportion of drug cost,and age.Hospitalization expenditure of the inpatients with health insurance was higher than that of inpatients without health insurance(P0.01).Hospitalization expenditure of inpatients cured was more than inpatients with other treatment outcomes(P0.01).Conclusion Controlling the use of medicine and reducing the time of hospitalization could be effective and feasible means to reduce the hospitalization expenditure of gastric carcinoma inpatients.