目的了解天津市参加城镇职工基本医疗保险的卵巢癌患者住院费用构成及其影响因素,为控制医疗费用的不合理增长提供参考依据。方法从天津市2003-2007年参保住院患者资料库中抽取卵巢癌患者1 635例,对其住院费用情况进行回顾性分析。结果天津市2003-2007年参保卵巢癌患者住院总费用为20 035 629.53元,人均住院费用中位数为9 824.59元;卵巢癌患者住院费用中药品费、检查费、治疗费、手术费、床位费、材料费、输血费、成分输血费和其他费用分别占72.35%、13.53%、5.88%、3.37%、3.22%、0.35%、0.39%、0.48%和0.43%。多元线性回归分析结果表明,药品费和检查费比重越大、住院天数越多、医院级别越高,参保卵巢癌患者住院费用越高。结论住院天数、医院级别、药品费比重和检查费比重是参保卵巢癌患者住院费用的主要影响因素。 Objective To understand the composition and influential factors of hospitalization costs of ovarian cancer patients participating in the basic medical insurance for urban workers in Tianjin and provide reference for controlling the unreasonable increase of medical expenses. Methods Totally 1 635 ovarian cancer patients were selected from the insured patient database in Tianjin in 2003-2007. The hospitalization expenses were retrospectively analyzed. Results The total hospitalization cost of insured ovarian cancer patients in Tianjin from 2003 to 2007 was 20 035 629.53 yuan, and the median per capita hospitalization expense was 9 824.59 yuan. The cost of hospitalization of ovarian cancer patients in medicine, examination, treatment, surgery, Bed fee, material fee, blood transfusion fee, component blood transfusion fee and other fees accounted for 72.35%, 13.53%, 5.88%, 3.37%, 3.22%, 0.35%, 0.39%, 0.48% and 0.43% respectively. Multivariate linear regression analysis showed that the greater the proportion of drug costs and examination fees, the more days of hospitalization, the higher the hospital level, the higher the cost of insured ovarian cancer hospitalization. Conclusion The length of hospital stay, hospital level, the proportion of drug costs and the proportion of examination fees are the main factors that influence the hospitalization costs of patients with ovarian cancer.