中国卒中杂志2016，Vol.11Issue(7)：607-612,6.DOI:10.3969/j.issn.1673-5765.2016.07.017
医改政策对脑梗死患者住院费用影响的研究
Research on the Influence of Medical Reform Policies on the Cerebral Infarction Patients’ Hospital Cost
张豪 1王伊龙 2白波 3潘岳松 4张昊5
作者信息
- 1. 100050 北京首都医科大学附属北京天坛医院财务处
- 2. 首都医科大学附属北京天坛医院科技处
- 3. 首都医科大学附属北京天坛医院神经病学中心
- 4. 国家神经系统疾病临床医学研究中心
- 5. 北京脑重大疾病研究院脑卒中研究所
- 折叠
摘要
Abstract
Objective To make an analysis of the differences in cerebral infarction patients’ hospital cost under different medical reform policies, so as to provide suggestions on making Beijing medical reform policy. Methods Based on relevant theories, the data of cerebral infarction patients’ hospital cost in Beijing Tiantan Hospital, Capital Medical University before and after three successive implementations of medical reform policies in terms of performance assessment, total prepaid amount and separation of Medicare and drug sale in 2012 were collected. The data from three aspects: tendency, necessity and accessibility were analyzed. Rank-sum test and multiple regression analysis in SPSS18.0 were conducted. The regression models were constructed. By using the regression models, the differences in hospital cost under different medical reform stages were compared. Results There was signiifcant difference in the different medical reform stages. In the performance assessment stage, the cost of the patients with medical insurance reduced by11.44%, and that of self-pay patients by 6.91%. In the performance assessment plus total prepaid amount stage, the cost of the patients with medical insurance reduced by 9.51%, and that of self-pay patients increased by 2.88%. In the performance assessment plus total prepaid amount plus separation of Medicare and drug sale stage, the cost of the patients with medical insurance increased by 4.75%, and that of self-pay patients reduced by 25.50%. Conclusion The administrations of the medical reforms should pay attention to the different effects of medical reform on the cerebral infarction patients’ hospital cost, reinforce the supervision of medical organizations, guide reasonable medication, so as to reduce the disease burden of patients with cerebral infarctions.关键词
医改政策/脑梗死/住院费用/影响Key words
Medical reform policy/Cerebral infarction/Hospital cost/Inlfuence引用本文复制引用
张豪,王伊龙,白波,潘岳松,张昊..医改政策对脑梗死患者住院费用影响的研究[J].中国卒中杂志,2016,11(7):607-612,6.
