摘要
目的研究影响医疗保险费用的关键因素及其传导路径,进而实现对医疗保险费用的有效控制。方法按照系统抽样的方法从2008年天津市医疗保险结算中心医保数据库中提取10%参保人员医疗费用及医疗保险报销的相关信息,数据导入SPSS17.0中,应用AMOS17.0构建路径模型,并验证各因素之间的因果关系及关系大小。结果住院天数、个人负担比例、医院类别、病种、药品费用、其他临床特征、患者社会经济特征均会对医疗保险费用产生影响。结论医疗保险费用的控制是一个系统工程,需要政府、医疗保险机构、医疗机构、医药生产和流通企业等协同努力,采取综合性措施。
Objective To identify thekey factorsandconduction path of medical insurance expenditure and to achieve effective control.Methods Based on the data from the medical insurance database of Tianjin medical insurance settlement center in 2008,a path model was made to analyze the causal relationship of all factors.Results The number of hospital days,personal burden ratio,hospital category,diseases,drug costs,other clinical characteristics and socio-economic characteristics of patients could influence medical insurance expenditure.Conclusion Medical insurance expenditure control is a systematic project.The government,medical insurance institutions,medical institutions,pharmaceutical production and circulation enterprises should concerted efforts and adopt comprehensive measures.
出处
《中国卫生统计》
CSCD
北大核心
2011年第2期126-128,共3页
Chinese Journal of Health Statistics
基金
天津市2010年度哲学社会科学规划课题(TJYY10-2-422)
关键词
医疗保险费用
路径分析
Medical insurance expenditure
Path analysis
