Expenditure of hospital care on cancer in China, from 2011 to 2015

doi:10.21147/j.issn.1000-9604.2017.03.11

	Expenditure of hospital care on cancer in China, from 2011 to 2015
	Cai, Yue 1; Xue, Ming 1; Chen, Wanqing 2,3; Hu, Maogui 4; Miao, Zhiwen 1; Lan, Lan 5; Zheng, Rongshou 2,3; Meng, Qun 1
刊名	CHINESE JOURNAL OF CANCER RESEARCH
	2017-06-01
卷号	29 期号:3 页码:253-262
关键词	Cancer payments expenditure economic burden
ISSN号	1000-9604
DOI	10.21147/j.issn.1000-9604.2017.03.11
通讯作者	Meng, Qun(mengqun@nhfpc.gov.cn)
英文摘要	Objective: A solid understanding of levels and trends of spending on cancer is important to evaluate whether our healthcare resources were wisely spent and to prioritize future resources for cancer treatment and prevention. However, studies on economic burden of cancers in China are scant and the results are inconsistent. Methods: The Chinese hospital information database and nearly 350 million inpatient medical record data were used. As the ratios of cancer inpatient payments to total inpatient payments were mainly influenced by the grades and sites of hospitals, the estimates of payments of cancer inpatients in this study were stratified by hospital grades and provinces. Only the payments of cancer inpatients happened in grade 2, grade 3 and specialized cancer hospitals were included in the analyses. The total medical payments of cancers in China were estimated based on the ratios of outpatient payments to inpatient payments in specialized cancer hospitals. Results: From 2011 to 2015, the payments of cancer inpatients in China have increased by 84.1% and the total inpatient payments reached 177.1 billion RMB in 2015, accounting for 4.3% of the total health expenditure in China. Based on the ratio of outpatient payments to inpatient payments, the total payments on cancer treatments in China were estimated to be 221.4 billion RMB in 2015. Among different cancer types, the highest payments were the treatment of trachea, bronchus and lung cancer. The major cancer inpatient payments (67.1% in 2015) spent in grade 3 general hospitals and this ratio increased continually from 2011 to 2015. The expenditure of cancer treatments also varies by region with the major expenditure in the eastern region of China. Conclusions: This study estimated the total payments of cancer treatments in China and analyzed how the money was spent on cancer treatments in the recent 5 years, which would provide information for decision makings on the allocation of resources to service provisioning, prevention strategies, research funding, and assessing whether the economic burden of cancer is affordable to the governments.
资助项目	National Natural Science Foundation of China[71403189]
WOS关键词	MORTALITY ; COST
WOS研究方向	Oncology
语种	英语
出版者	CHINESE JOURNAL CANCER RESEARCH CO
WOS记录号	WOS:000407395500011
资助机构	National Natural Science Foundation of China
内容类型	期刊论文
源URL	[http://ir.igsnrr.ac.cn/handle/311030/61537]
专题	中国科学院地理科学与资源研究所
通讯作者	Meng, Qun
作者单位	1.Natl Hlth & Family Planning Commiss, Ctr Hlth Stat & Informat, Beijing 100032, Peoples R China 2.Chinese Acad Med Sci, Canc Hosp, Natl Canc Ctr, Natl Cent Canc Registry, Beijing 100021, Peoples R China 3.Peking Union Med Coll, Beijing 100021, Peoples R China 4.Chinese Acad Sci, Inst Geog Sci & Nat Resources Res, State Key Lab Resources & Environm Informat Syst, Beijing 100101, Peoples R China 5.Sichuan Univ, West China Sch Publ Hlth, Chengdu 610041, Sichuan, Peoples R China
推荐引用方式 GB/T 7714	Cai, Yue,Xue, Ming,Chen, Wanqing,et al. Expenditure of hospital care on cancer in China, from 2011 to 2015[J]. CHINESE JOURNAL OF CANCER RESEARCH,2017,29(3):253-262.
APA	Cai, Yue.,Xue, Ming.,Chen, Wanqing.,Hu, Maogui.,Miao, Zhiwen.,...&Meng, Qun.(2017).Expenditure of hospital care on cancer in China, from 2011 to 2015.CHINESE JOURNAL OF CANCER RESEARCH,29(3),253-262.
MLA	Cai, Yue,et al."Expenditure of hospital care on cancer in China, from 2011 to 2015".CHINESE JOURNAL OF CANCER RESEARCH 29.3(2017):253-262.