Unbalanced Treatment Costs of Breast Cancer in China: Implications From the Direct Costs of Inpatient and Outpatient Care in Liaoning Province
Publish Year: 1401
نوع سند: مقاله ژورنالی
زبان: English
View: 60
This Paper With 9 Page And PDF Format Ready To Download
- Certificate
- من نویسنده این مقاله هستم
استخراج به نرم افزارهای پژوهشی:
شناسه ملی سند علمی:
JR_HPM-11-9_014
تاریخ نمایه سازی: 17 مرداد 1403
Abstract:
Background The increasing incidence of breast cancer and its financial burden highlights the need for controlling treatment costs. This study aimed to assess the direct costs of inpatient and outpatient care for breast cancer patients in Liaoning Province to provide a policy reference for cost containment. Methods Based on the System of Health Accounts ۲۰۱۱ (SHA ۲۰۱۱), systematic data collection was conducted via multistage stratified cluster random sampling. A total of ۱۱۶۰ health institutions, including ۸۳ hospitals, ۱۶ public health institutions, ۱۲۰ primary health institutions, and ۹۴۱ outpatient institutions were enrolled in ۲۰۱۷. A database was established containing ۲۰ ۰۳۵ patient-level medical records from the information system of these institutions. Curative care expenditure (CCE)was calculated, and generalized linear modeling was performed to determine cost-related factors. Results In ۲۰۱۷, the CCE for breast cancer was approximately CNY ۸۳۰.۱۹ million (US۱۲۲.۹۶ million) in Liaoning province (۰.۷% of the total health expenditure and ۹.۹% of cancer- related healthcare costs). Inpatient care costs were estimated to be CNY ۶۱۷.۲۷ million (US۹۱.۴۲ million), accounting for ۷۴.۴% of the CCE for breast cancer, almost three times as large as outpatient costs (۲۵.۶%). The average inpatient and outpatient costs for breast cancer were estimated to be CNY ۱۲ ۱۰۸ (US۱۷۹۳) and CNY ۸۲۹ (US۱۲۳) per visit. Medication cost was the main cost driver, which comprised ۸۴.۰% of the average outpatient cost and ۳۷.۲% of the mean inpatient cost. Conclusion Breast cancer imposes a large economic burden on patients and the social health insurance system. Results show an irrational cost pattern of inpatient and outpatient services, with patients relying excessively on inpatient services for treatment. Promoting outpatient care whenever relevant is conducive to cost containment and rational utilization of resources.
Keywords:
Authors
Zihua Ma
Department of Health Service Management, China Medical University, Shenyang, China
Gongman Deng
The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China
Zhaolin Meng
School of Nursing, Capital Medical University, Beijing, China
Yanan Ma
Department of Biostatistics and Epidemiology, School of Public Health, China Medical University, Shenyang, China
Huazhang Wu
Department of Health Service Management, China Medical University, Shenyang, China