scholarly journals Analysis of hospitalization expenditure and its influencing factors for lung cancer patients in China: a research based on the “System of Health Accounts 2011”

2020 ◽  
Author(s):  
Le Pan ◽  
Zhaolin Meng ◽  
Yuanyi Cai ◽  
Huazhang Wu

Abstract Background At present, lung cancer is the common malignant tumor of respiratory system worldwide. The disease poses a serious health threat and a substantial economic burden to patients. The economic risks brought by lung cancer arouses widespread public concern. Therefore, the target of this research is to calculate lung cancer expenditure in China under the framework of the System of Health Account 2011 (SHA 2011). Intensive studies on working mechanism of influencing factors to lung cancer expenditure will be further explored, in order to achieve the goal of controlling lung cancer expenditure.Methods A multistage stratified sampling method was conducted in Liaoning province in China, and a total of 23559 patients were included into hospitalization expenditure analysis according to the framework of SHA 2011. The relation between the total hospitalization expenditure of lung cancer and its influencing factors including of demographic characteristics, diagnosis and treatment, and hospital condition was analyzed with the multiple stepwise regression analysis. The impact mechanism of these influencing factors was revealed through path analysis and survival analysis.Results The total hospitalization expenditure of lung cancer was $ 1581.8. Multiple stepwise regression analysis indicated that the total hospitalization expenditure was associated with length of stay, surgery, hospital level, insurance status, and hospital type, according to the sequence of standardized estimate (β). Length of stay contributed the most to the model R-square. Path analysis showed that surgery, hospital type, and insurance status not only made a direct impact on the hospitalization expenditure, but also made an indirect impact on it through the length of stay. Through survival analysis, we found self-funded patients of lung cancer were quicker to run out of the affordable money.Conclusions Lung cancer brought a heavy economic burden for patients. More efficient and stringent clinical control strategies should be conducted to limit the increase of the expenditure.

Author(s):  
Kai Wang ◽  
Menghan Wang ◽  
Chang Gan ◽  
Mihai Voda

As one of the main factors in any tourist destination, residents’ perception of the impacts of ecological resettlement has a substantial influence on the sustainable development of any world heritage site. Our research takes the residents of three different resettlement locations in the Wulingyuan scenic area, a world heritage site, as the object of our survey. Based on questionnaire investigations in 2010 and 2016, this article analyzes the residents’ diachronic perception of the impacts of ecological resettlement. Independent sample t-tests and Analysis of Variance (ANOVA) are used to compare the differences in residents’ perception toward ecological relocation and analyse how demographic characteristics affect residents’ perception. Multiple stepwise regression analysis is applied to explore the main factors that contribute to the differences in the perception of impacts of ecological resettlement. The results show that during the study period, respondents have the strongest perceptions of the economic, socio-cultural, resource-environment and psychological impacts. However, they have negative perceptions of relocation policy impacts. Compared with 2010, residents with different gender, age, education level, income level and engagement in tourism have significant differences in perception of impacts of resettlement in 2016. Multiple stepwise regression analysis demonstrates that the perceptions of impacts of the ecological resettlement and economic policy are the primary factors to affect residents’ overall perceptions.


PeerJ ◽  
2021 ◽  
Vol 9 ◽  
pp. e11869
Author(s):  
Xuyun Xia ◽  
Shiyao Xue ◽  
Gangyi Yang ◽  
Yu Li ◽  
Hua Liu ◽  
...  

Background and Aims Fetuin-B has been reported to be involved in glucose and lipid metabolism and associated with the occurrence of diabetes. The main purpose of this study is to explore the changes of circulating fetuin-B in young women with pre-diabetes and to analyze the relationship between fetuin-B and the occurrence and development of IR. Methods A total of 304 women were enrolled in this study and subjected to both OGTT and EHC. A subgroup of 26 overweight/obese womenwas treated with Lira for 24 weeks. serum fetuin-B concentrations were measured by ELISA. Results In IGT and IR-NG groups, serum fetuin-B levels were higher than those in the NGT group. The serum fetuin-B levels in the IGT group were higher than those in the IR-NG group. serum fetuin-B was positively correlated with BMI, WHR, 2h-BG, FIns, HbA1c, and HOMA2-IR, but negatively correlated with the M-value in all study populations. Multiple stepwise regression analysis showed that the M-value was independently and inversely associated with serum fetuin-B. Logistic regression analysis showed that serum fetuin-B was independently associated with IGT and significantly increased the risk of IGT. During the OGTT, serum fetuin-B increased significantly in the NGT group, but there were no significant changes in other groups. During the EHC, serum fetuin-B increased in the IGT group, but there was no change in other groups. After Lira intervention, serum fetuin-B decreased significantly in IGT women. Conclusions serum fetuin-B levels are elevated in young women with IR or IGT and may be associated with IR.


1983 ◽  
Vol 14 (4) ◽  
pp. 166-171
Author(s):  
P. L.S. Ackermann ◽  
W. P. Jansen van Rensburg

The prediction of credit risk by means of biographic variables: Is this the answer? The objective of this study is to identify specific biographical variables, to quantity them and to investigate their relative importance in the prediction of credit risk. A representative sample of 250 bad credit risk clients and 250 good credit risk clients is used in the study. A multiple stepwise regression analysis and multiple stepwise discriminant analysis were carried out. Nine biographical variables were identified which explain approximately 16% of the variance of credit risk.


2021 ◽  
Vol 05 (03) ◽  
pp. 19-27
Author(s):  
Quynh Nguyen ◽  
◽  
Van Tan Vo

Objective : Describe the direct medical cost of acute stroke a Nhan Dan Gia Dinh hospital in 2020 and some influencing factors. Methods: Design of cross-sectional descriptive study, conducted two steps: quantitative research to describe the direct medical cost of acute stroke with the patient's medical records and hospital discharge payment slip: cerebral infarction stroke and cerebral hemorrhagic stroke from 3/2020 to 10/2020. And qualitative research analyzes factors affecting direct medical cost of acute stroke: hospital managers, doctor and nurse, the patients. Main findings: The study performed a sample size of 249 and results: Direct medical cost for treatment of ischemic stroke: 13.260.620 VND, treatment of ischemic stroke with alteplase: 21.026.494 VND, treatment of ischemic stroke with alteplase and mechanical thrombectomy: 120.521.658 VND, treatment of ischemic stroke with mechanical thrombectomy: 73.979.558 VND, treatment of ischemic stroke without revascularization: 5,250,087 VND, treatment of hemorrhagic stroke: 6,305,926 VND. Influencing factors include: age, type of stroke, treatment, length of stay in the intensive care unit, and length of stay. Conclusions: Our study evaluated economic burden of stroke which had significant consequences for patients and society. This study provided evidences for decision makers to implement healthcare policies for stroke prevention and management to reduce the economic burden of stroke in Vietnam. Keywords: direct medical cost, acute stroke, stroke subtypes, length of stay, treatment


1985 ◽  
Vol 111 ◽  
pp. 491-494
Author(s):  
E. Antonello

Calibrations of the uvby, β photometric systems have been made by Crawford (1975, 1978, 1979) for F, B and late A-type stars of luminosity class V-III; the calibration for early A-type stars has been made by Hilditch et al. (1983). One of the remaining areas of the HR diagram to be calibrated is that of the bright giant to supergiant region (luminosity class II-I). We have attempted to obtain a calibration in terms of luminosity for supergiant F-type stars. To this end we have used the statistical method of multiple stepwise regression analysis. Before doing the calibration for supergiants, we show the usefulness of this method by a comparison of the results obtained for dwarf F-type stars with the previous calibration given by Crawford (1975).


2016 ◽  
Vol 22 (11) ◽  
pp. 1357-1364 ◽  
Author(s):  
Jinyan Sang ◽  
Yongbao Ji ◽  
Ping Li ◽  
Hao Zhao

This study aimed to explore the relationships among perceived organizational support, self-esteem, and suicidal ideation of young employees. A total of 447 unmarried employees completed the survey of perceived organizational support, Rosenberg self-esteem scale, and suicide ideation scale. The results revealed that perceived organizational support, self-esteem, and suicidal ideation were significantly correlated with each other. Stepwise regression analysis and path analysis both indicated that self-esteem partially mediated the effect of perceived organizational support on suicidal ideation.


Open Medicine ◽  
2012 ◽  
Vol 7 (4) ◽  
pp. 475-480
Author(s):  
Tsukasa Nakamura ◽  
Eiichi Sato ◽  
Nobuharu Fujiwara ◽  
Yasuhiro Kawagoe ◽  
Sayaka Maeda ◽  
...  

AbstractUncontrolled inflammation and endotoxin play a central role in septic shock. Statins may possess anti-inflammatory properties, and removal of endotoxin by hemoperfusion with polymyxin B-immobilized fiber (PMX-F) could have favorable effects on sepsis. We examined retrospectively whether pre-existing statin and hemoperfusion with PMX-F at the time of admission were separately and independently associated with decreased overall 28-day mortality in septic shock patients. Consecutive 173 patients with septic shock (71.2±10.7 years old, 115 male and 58 female) were included in the present study. All patients underwent a complete history and physical examination, determination of blood chemistries. Multiple stepwise regression analysis revealed that albumin, creatinine (inversely), statin use, hemoperfusion with PMX-F and HDL-cholesterol were independently correlated to 28-day survival in septic shock patients (R2=0.464). Our present study suggests that pre-existing statin use and hemoperfusion with PMX-F may separately and independently contribute to blunt the process of septic shock.


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