摘要
目的:分析住院费用的构成,为控制不合理医疗费用提供有效依据。方法:比较脑梗死医保与非医保患者的医疗费用构成;对医生、患者、医保管理人员三类人群进行访谈,通过访谈的结果与定量数据资料相结合,分析费用影响因素。结果:医保患者的人均费用高于非医保患者,医保人均费用逐年上涨。从住院费用的构成分析,药费和检查检验费是主要的医疗费用支出。结论:医保患者住院费用存在着过度治疗的现象,可以通过改变费用支付方式和加强管理等方法进行控制。
Objective： To analyze the constitution of hospitalization expenses and provide evidence for controlling unreasonable increase of medical costs. Methods： To compare the medical expense constitution of cerebral infarction patients with and without medical insurance; interview the doctors, patients and the medical insurance managers of medical insurance, analyze the influencing factors of the expense through combining the result of interview and quantitative data. Results： The patients with medical insurance spent higher expense than their counterparts, the per capita cost of medical insurance increase by year. Through analyzing the constitution of hospitalization cost, medicine fee and examination cost are the major medical costs. Conclusion： The costs of patients with medical insurance have over-treatment problem, which could be controlled by changing payment method and strengthening management.
出处
《中国卫生经济》
北大核心
2013年第11期27-29,共3页
Chinese Health Economics
关键词
医疗保险
住院费用
脑梗死
medical insurance
hospitalization expense
cerebral infarction
