中国卫生事业管理2025，Vol.42Issue(8)：888-892,897,6.
多层次医疗保障体系下康复患者住院经济负担研究
Research on the Economic Burden of Hospitalization of Rehabilitation Patients under the Multi-Level Medical Se-curity System
摘要
Abstract
Objective To analyze the changes in the hospitalization expenses and reimbursement of medical insurance of reha-bilitation patients at the provincial level under the multi-level medical security system in Sichuan Province,so as to provide refer-ence and data support for effectively controlling the hospitalization expenses of rehabilitation patients and promoting the reform of medical insurance payment.Methods The rehabilitation patients in Sichuan Province from 2018 to 2021 were selected as the re-search objects.Their hospitalization expenses and medical insurance settlement information were collected.And the patients were grouped according to the length of hospitalization.The new grey correlation analysis method and structural change analysis were used to quantitatively analyze the hospitalization expenses and medical insurance reimbursement data of rehabilitation patients.Re-sults From 2018 to 2021,treatment cost was the most influential factor in the constituent ratio and correlation degree of the average hospitalization cost,followed by drug cost.The top 3 expenses contributing to structural changes were drug costs,treatment costs,and examination fees.The cost of drugs and beds showed a negative contribution change.The number of days of hospitalization had its particularity in group of more than 60 d,and its material cost had a greater impact on the constituent ratio and correlation degree of the average hospitalization cost.The reimbursement amount of the supplementary layer was the most influential factor in the constituent ratio and correlation degree of the average hospitalization expense reimbursement.The burden of patients continued to increase.Conclusion The burden of rehabilitation patients is still heavy under the multi-level medical security system.Com-mercial health insurance should focus on protecting the long-term inpatient rehabilitation patients.The cost structure of rehabili-tation still needs to be optimized.And it is necessary to be vigilant against the rise in the cost of examination and consumables.It is necessary to continue to explore appropriate medical insurance payment methods for rehabilitation by taking into account the characteristics of disciplines and ensure the development momentum of key disciplines.关键词
康复费用/新灰色关联分析/多层次医疗保障体系/结构变动度Key words
rehabilitation costs/New grey correlation analysis/multi-level medical security system/Structural variability分类
医药卫生引用本文复制引用
唐金凤,王运莎,王寓凡,张昭,周晓媛..多层次医疗保障体系下康复患者住院经济负担研究[J].中国卫生事业管理,2025,42(8):888-892,897,6.基金项目
科技部国家重点研发计划"健康管理综合服务应用示范"(2020YFC2006500) （2020YFC2006500）
成都市DRG支付方式改革研究采购项目"成都市DRG支付方式改革研究"(SQBX-2023-1105) （SQBX-2023-1105）
