摘要
目的:分析比较2014-2017年四川省三级医院不同医保类型患者住院费用,为有效控制住院医疗费用不合理增长提供科学依据。方法:从四川省某三级综合医院获取数据17 603例,运用描述性统计方法对不同医保患者住院费用及构成比例进行描述。结果:城镇职工医保患者次均住院费用最高,2014-2017年城镇职工医保患者次均住院费用为7 801.75元;住院费用构成中,药品费用逐年下降,所占比例由33.65%下降到27.11%,但所占比例仍然最高,占30.72%左右。结论:各类医保应加强对药品费用的控制,城镇职工医保管理中心应加强对定点医疗机构的实时监管,控制住院次均费用。
Objective:By analyzing and comparing the hospitalization expenses of patients with different types of medical insurance in a tertiary hospital in Sichuan Province from 2014 to 2017,to provide a scientific basis for effectively control the unreasonable growth of hospitalization expenses.Methods:A total of 17603 cases were obtained from a tertiary general hospital in Sichuan Province,and descriptive statistical methods were used to describe the hospitalization expenses and proportion of different types of medical insurance patients.Results:The average hospitalization expense of urban workers'medical insurance patients was the highest.The average hospitalization expense of urban workers’medical insurance patients in 2014-2017 was 7801.75 yuan.Among hospitalization expenses,the drug expense decreased year by year,and the proportion decreased from 33.65%to 27.11%.However,the proportion is still the highest,accounting for about 30.72%.Conclusion:All types of medical insurance should strengthen the control of drug expense,and the urban employee medical insurance management center should strengthen the regular supervision of designated medical institutions and control the average hospitalization expense.
作者
刘笑
訾春艳
谷佳伟
麻若蒙
唐昌敏
方鹏骞
LIU Xiao;ZI Chunyan;GU Jiawei;MA Ruomeng;TANGChangmin;FANG Pengqian(School of Medicine and Health Management,Tongji Medical College of Huazhong University of Science and Technology,Wuhan,430030,Hubei Province,PRC)
出处
《中国医院》
2019年第7期44-47,共4页
Chinese Hospitals
基金
国家自然科学基金重点项目(基于利益均衡和制度整合的我国全民医疗保险体系构建和制度安排研究)(71333005)
中国博士后科学基金资助项目(2015M582230)
关键词
医保患者
住院费用
医疗保险
三级医院
medical insurance patients
hospitalization expenses
mediacl insurance
tertiary hospital
