摘要
目的分析医保维持性透析患者医疗费用负担情况,为医保管理部门建立更加合理的透析治疗费用支付标准和有效降低透析患者疾病经济负担提供参考依据。方法从样本医院医疗保险信息管理系统内调取2016年1月1日-12月31日维持性透析患者基本信息、医疗费用数据与医疗保险支付数据。采用Kruskal-Wallis H秩和检验分析各组间差异。结果参保维持性血透患者与腹透患者年度医疗费用间差异具有统计学意义(P<0.05),城镇医保和新农合维持性透析患者的年度医疗总费用、医疗保险负担费用与患者个人负担费用间差异均有统计学意义(P<0.05),医疗保险类型对医疗总费用、医保负担费用的影响均有统计学意义(P<0.05)。结论参保腹透患者医疗费用负担较血透患者低,城镇医保透析患者医疗费用负担高于新农合透析患者。
Objective By analyzing and explaining the burden of medical expenses in patients with maintenance dia- lysis,this paper provides a reference for the medical insurance management departments to establish a more reasonable payment standard of dialysis treatment costs and then can effectively reduce the economic burden of dialysis patients. Methods Basic dialysis patients ' information,medical expenses data and medical insurance payment data were retrieved from the sample hospital medical insurance information management system from January 1,2016 to December 31,2016.Statistical differences were tested using the Kruskal-Wallis H-rank test with the overall median of multiple independent samples. Results The annual medical costs of patients with maintenance hemodialysis were higher than those of patients with peritoneal dialysis( P <0.05).The annual total medical expenses,the medical insurance burden and the personal burden of patients in urban medical insurance dialysis patients were higher than those of new rural cooperative medical insurance( P <0.05).The impact of medical insurance type on total medical expenses and the medical insurance burden costs was statistically significant( P <0.05). Conclusion The medical expenses burden of medical insured patients with peritoneal dialysis is lower than the patients with hemodialysis.The medical expenses burden of dialysis patients insured in urban health insurance is higher than those insured in the new rural cooperative medical insurance.
作者
曲建卫
王志华
周志强
曲建娇
曲建慧
咸本松
QU Jianwei;WANG Zhihua;ZHOU Zhiqiang(Department of Medicine Insurance,Chifeng Municipal Hospital,Chifeng,Inner Mongolia, 024000,China)
出处
《中国社会医学杂志》
2019年第3期328-332,共5页
Chinese Journal of Social Medicine
基金
内蒙古自治区卫生和计划生育委员会项目(201703085)
内蒙古医科大学青年创新基金项目(YKD2016QNCX005)
赤峰市医院科研项目
关键词
终末期肾病
血液透析
腹膜透析
医疗保险
医疗费用负担
End-stage renal disease
Hemodialysis
Peritoneal dialysis
Medical insurance
Medical expense burden
