【摘要】 目的:为实施乳腺癌规范治疗,提高医疗质量,改善患者生存质量,节约医疗成本,降低乳腺癌患者医疗费用,进行乳腺癌的临床经济学评价。方法:对江苏省肿瘤医院2003年1月～2007年9月收治的1164例乳腺癌住院患者(非规范综合治疗1036例,规范治疗128例)的病例资料及费用明细数据进行回顾性分析和最小成本法分析。结果:非规范与规范的乳腺癌综合治疗患者平均住院天数为60.59天和39.84天;平均住院次数为3.77次与2.52次;平均住院总费用分别为54863.27元和33426.71元,均有显著性差异。结论:乳腺癌综合治疗费用较高,实施规范治疗后,住院天数、住院次数和平均住院总费用均降低;相同临床治疗效果下,规范治疗比非规范治疗要好。可见,规范治疗在临床经济学上更可行,且具有较好的推广应用价值。更多还原

【Abstract】 Objective:To implement the standardized diagnosis and treatment of breast cancer,in order to enhance the medical quality,improve the quality of life,save medical cost and reduce medical expenses of patients with breast cancer. Methods:The study chose home medical records,clinical diagnosis and treatment information and detailed expense data of 1 164 cases of breast cancer in-patient in Jiangsu Provincial Tumor Hospital from January 2003 to September 2007,and used the minimum cost to carry on retros pective statistical analysis. Results:The average days of hospitalization of breast cancer patients by non-standardized and standardized comprehensive diagnosis and treatment were 60.59 days and 39.84 days respectively,the average times of hospitalization were 3.77 and 2.52 respectively,the total hospitalization expenses per capita were 54 863.27 yuan and 33 426.71 yuan,and all differences were statistically significant. Conclusion:The expenses of comprehensive treatment of breast cancer were relatively higher. The days of hospitalization,the average number of hospitalization and the total hospitalization expenses were reduced and the clinical treatment effects were improved after implementation of the standardized diagnosis and treatment. The implementation of standardized diagnosis and treatment of breast cancer was more feasible in clinical economics than non-standardized method,and had a better promotional and application value.更多还原