| 引用本文: |
赵燕,湛欢,杨晓,周良荣,彭清华.老年肺癌住院患者中医药使用及疾病经济负担分析[J].湖南中医药大学学报,2022,42(11):1938-1943[点击复制] |
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| 老年肺癌住院患者中医药使用及疾病经济负担分析 |
| 赵燕,湛欢,杨晓,周良荣,彭清华 |
| (湖南中医药大学, 湖南 长沙 410208;湖南中医药大学第一附属医院, 湖南 长沙 410007) |
| 摘要: |
| 目的 了解湖南省老年肺癌住院患者的中医药利用情况，探究中医药的使用对于住院总费用是否存在影响以及影响路径。方法 通过多阶段分层抽样获取老年肺癌住院患者的费用数据，利用Log-binomial回归分析中医药使用情况；构建结构方程模型，分析住院总费用的影响因素及影响路径。结果 老年肺癌住院患者中医药使用率较高，采用手术治疗的患者、高龄患者以及参加了保险的患者更偏向于使用中医药。中药组与非中药组患者的住院总费用、药品费、住院天数、患者自付费用存在差异（P＜0.001）。中药占比对老年肺癌患者住院总费用有影响，中药占比越高，住院总费用越低。结论 中医药的使用对于减轻老年肺癌住院患者的疾病经济负担具有效果，但是由于中药在药品中占比不高，导致中医药在治疗老年肺癌住院患者时，价格优势并不明显。 |
| 关键词: 老年肺癌住院患者 中医药 疾病经济负担 结构方程模型 |
| DOI：10.3969/j.issn.1674-070X.2022.11.027 |
| 投稿时间：2021-06-18 |
| 基金项目:湖南省社会科学成果课题（XSP21YBC453）；湖南省教育厅科研项目（21B0396）；湖南省哲学社会科学基金项目（22ZDBO38）。 |
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| Analysis of using Chinese medicine and economic burden of disease for elderly hospitalized patients with lung cancer |
| ZHAO Yan,ZHAN Huan,YANG Xiao,ZHOU Liangrong,PENG Qinghua |
| (Hunan University of Chinese Medicine, Changsha, Hunan 410208, China;The First Hospital of Hunan University of Chinese Medicine, Changsha, Hunan 410007, China) |
| Abstract: |
| Objective To know the use of Chinese medicine for elderly hospitalized patients with lung cancer in Hunan Province, and to explore whether the use of Chinese medicine influences the total hospitalization cost and its influence paths. Methods Through multi-stage stratified sampling, the cost data of elderly hospitalized patients with lung cancer were obtained, and Log-binomial regression was used to analyze the use of Chinese medicine. By constructing a structural equation model, the influencing factors and influence paths of the total hospitalization cost were analyzed. Results The use of Chinese medicine in elderly hospitalized patients with lung cancer was relatively high, and those patients with surgical treatment, those of old age, or those with insurance were more inclined to use Chinese medicine. There were differences in total hospitalization expenses, drug fees, hospitalization days, and patient out-of-pocket expenses between Chinese medicine group and non Chinese medicine group. The proportion of Chinese medicine had an impact on the total hospitalization expenses of elderly hospitalized patients with lung cancer. With the higher proportion of Chinese medicine, the total hospitalization expenses were lower. Conclusion The use of Chinese medicine is effective in reducing the economic burden of elderly hospitalized patients with lung cancer. However, with the not high proportion of Chinese medicine in drugs, the price advantage of Chinese medicine group of elderly hospitalized patients with lung cancer is not obvious. |
| Key words: elderly hospitalized patients with lung cancer Chinese medicine economic burden of disease structural equation model |
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