Cost Effectiveness and Resource Allocation (Aug 2021)
Medical expenditure for lung cancer in China: a multicenter, hospital-based retrospective survey
- Xin Zhang,
- Ju-Fang Shi,
- Guo-Xiang Liu,
- Jian-Song Ren,
- Lan-Wei Guo,
- Wei-Dong Huang,
- Lin-Mei Shi,
- Yi Ma,
- Hui-Yao Huang,
- Ya-Na Bai,
- Xian-Zhen Liao,
- A-Yan Mao,
- Xiao-Jie Sun,
- Xin-Yu Zhu,
- Qi Zhou,
- Ji-Yong Gong,
- Jin-Yi Zhou,
- Yu-Qin Liu,
- Ling Mai,
- Bing-Bing Song,
- Lin Zhu,
- Xiao-Jing Xing,
- Ling-Bin Du,
- Xiao Qi,
- Xiao-Hua Sun,
- Shou-Ling Wu,
- Ying Ren,
- Rong Cao,
- Li Lan,
- Pei-An Lou,
- Kai Zhang,
- Jie He,
- Min Dai
Affiliations
- Xin Zhang
- School of Health Management, Harbin Medical University
- Ju-Fang Shi
- Office of Cancer Screening, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College
- Guo-Xiang Liu
- School of Health Management, Harbin Medical University
- Jian-Song Ren
- Office of Cancer Screening, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College
- Lan-Wei Guo
- Department of Cancer Epidemiology, The Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital
- Wei-Dong Huang
- School of Health Management, Harbin Medical University
- Lin-Mei Shi
- School of Health Management, Harbin Medical University
- Yi Ma
- School of Health Management, Harbin Medical University
- Hui-Yao Huang
- Office of Cancer Screening, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College
- Ya-Na Bai
- Institute of Epidemiology and Health Statistics, Lanzhou University
- Xian-Zhen Liao
- Hunan Office for Cancer Control and Research, Hunan Provincial Cancer Hospital
- A-Yan Mao
- Public Health Information Research Office, Institute of Medical Information, Chinese Academy of Medical Sciences
- Xiao-Jie Sun
- Center for Health Management and Policy, Key Lab of Health Economics and Policy, Shandong University
- Xin-Yu Zhu
- Office of Cancer Screening, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College
- Qi Zhou
- Chongqing Office for Cancer Control and Research, Chongqing Cancer Hospital
- Ji-Yong Gong
- Science and Education Department of Public Health Division, Shandong Tumor Hospital
- Jin-Yi Zhou
- Jiangsu Provincial Center for Disease Control and Prevention, Institute of Chronic Non-Communicable Diseases Prevention and Control
- Yu-Qin Liu
- Cancer Epidemiology Research Center, Gansu Provincial Cancer Hospital
- Ling Mai
- Department of Institute of Tumor Research, The Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital
- Bing-Bing Song
- Heilongjiang Office for Cancer Control and Research, Affiliated Cancer Hospital of Harbin Medical University
- Lin Zhu
- Teaching and Research Department, Affiliated Cancer Hospital of Xinjiang Medical University
- Xiao-Jing Xing
- Liaoning Office for Cancer Control and Research, Liaoning Cancer Hospital & Institute
- Ling-Bin Du
- Zhejiang Office for Cancer Control and Research, Zhejiang Cancer Hospital
- Xiao Qi
- Department of Occupational Medicine, Tangshan People’s Hospital
- Xiao-Hua Sun
- Ningbo Clinical Cancer Prevention Guidance Center, Ningbo NO.2 Hospital
- Shou-Ling Wu
- Health Department of Kailuan Group, Kailuan General Hospital
- Ying Ren
- Urban Office of Cancer Early Detection and Treatment, Tieling Central Hospital
- Rong Cao
- Department of Health Policy and Economic Research, Guangdong Provincial Institute of Public Health
- Li Lan
- Institute of Chronic Disease Prevention and Control, Harbin Center for Disease Control and Prevention
- Pei-An Lou
- Department of Control and Prevention of Chronic Non-Communicable Diseases, Xuzhou Center for Disease Control and Prevention
- Kai Zhang
- Office of Cancer Screening, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College
- Jie He
- Office of Cancer Screening, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College
- Min Dai
- Office of Cancer Screening, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College
- DOI
- https://doi.org/10.1186/s12962-021-00306-3
- Journal volume & issue
-
Vol. 19,
no. 1
pp. 1 – 12
Abstract
Abstract Background Lung cancer is the most prevalent cancer, and the leading cause of cancer-related deaths in China. The aim of this study was to estimate the direct medical expenditure incurred for lung cancer care and analyze the trend therein for the period 2002–2011 using nationally representative data in China Methods This study was based on 10-year, multicenter retrospective expenditure data collected from hospital records, covering 15,437 lung cancer patients from 13 provinces diagnosed during the period 2002–2011. All expenditure data were adjusted to 2011 to eliminate the effects of inflation using China’s annual consumer price index. Results The direct medical expenditure for lung cancer care (in 2011) was 39,015 CNY (US$6,041) per case, with an annual growth rate of 7.55% from 2002 to 2011. Drug costs were the highest proportionally in the total medical expenditure (54.27%), followed by treatment expenditure (14.32%) and surgical expenditure (8.10%). Medical expenditures for the disease varied based on region, hospital level, type, and stage. Conclusion The medical expenditure for lung cancer care is substantial in China. Drug costs and laboratory test are the main factors increasing medical costs.
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