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不同支付方式下慢性病患者住院费用对比分析

宋蕾 张开金 包思敏 黄新 郭炜 陈积瑞

中国全科医学2013,Vol.16Issue(4):440-441,2.
中国全科医学2013,Vol.16Issue(4):440-441,2.DOI:10.3969/j.issn.1007-9572.2013.02.026

不同支付方式下慢性病患者住院费用对比分析

Comparative Analysis of Hospitalization Expenses by Different Payment Patterns in Inpatients with Chronic Diseases

宋蕾 1张开金 1包思敏 1黄新 1郭炜 1陈积瑞1

作者信息

  • 1. 210009,江苏省南京市,东南大学公共卫生学院医疗保险系
  • 折叠

摘要

Abstract

Objective To investigate the expenses of inpatients with chronic diseases who were under the medical insurance or not under the medical insurance so as provide a reference for establishing a reasonable health care cost control system. Methods The descriptive analysis and Two - Sample Kolmogorov - Smirnov test were applied to analyze the insured and uninsured inpatient expenses. Results The insured and uninsured inpatient expenses grew year by year from 2008 to 2011, the average growth rate was 9. 35% and 8. 26% respectively. The median of the insured inpatient expenses was RMB 7 725. 97 yuan, which was more than RMB 6 674. 94 yuan of the uninsured inpatient. Medicine expenses was RMB 4 142. 07 yuan ( 53. 61% ) and examination expenses RMB 2 415. 20 yuan (31. 26% ), accounting for a larger proportion in the hospitalization expenses. Conclusion The hospitalization expense of the insured patients is still higher than that of the uninsured patients, and the growing rate is also higher. So to promote the medical insurance expense payment reform by controlling both the supply and the demand moral risks is an inevitable choice to control the unreasonable growth of medical expenses for chronic diseases.

关键词

慢性病/住院费用/支付方式

Key words

Chronic diseases/ Hospitalization expenses/ Payment patterns

分类

医药卫生

引用本文复制引用

宋蕾,张开金,包思敏,黄新,郭炜,陈积瑞..不同支付方式下慢性病患者住院费用对比分析[J].中国全科医学,2013,16(4):440-441,2.

基金项目

国家自然科学基金资助项目(70973018) (70973018)

中国全科医学

OA北大核心CSCDCSTPCD

1007-9572

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