中国农村卫生事业管理2026，Vol.46Issue(7)：481-486,6.DOI:10.19955/j.cnki.1005-5916.2026.07.005
安宁疗护按床日付费政策的医保费用特征与区域优化建议
Characteristics of medical insurance costs under the per-bed-day payment policy for palliative care and regional optimization recommendations policy for palliative care and regional optimization recommendations
摘要
Abstract
Objective To explore the characteristics of medical insurance costs for palliative care in the Panxi region of Sichuan Province under the per-bed-day payment policy.Methods A multicenter retrospective cohort study was conducted,involving oncology patients from five hospitals within a regional medical alliance be-tween August 2022 and August 2024.Participants were grouped based on types of diseases and whether they re-ceived palliative care.Propensity score matching was used to compare medical costs,and conditional logistic re-gression was employed to analyze cost-influencing factors.Results Eighty-six matched pairs(43 per group)were successfully analyzed.The palliative care group exhibited lower total costs,total medication expenses,Western drug costs,and examination fees compared to the non-palliative care group,with most patients being covered by Panzhihua's municipal medical insurance.Receipt of palliative care and length of hospital stay were identified as significant factors influencing costs(P＜0.05).Conclusions The per-bed-day payment policy reduces medical expenses for end-stage patients,yet healthcare institutions face cost pressures.It is recommended that regional op-timization measures be implemented to promote the sustainable development of palliative care.关键词
安宁疗护/医保政策/医保费用/成本压力/区域优化/人口老龄化/倾向性评分匹配Key words
Palliative care/Health insurance policy/Health insurance costs/Cost pressures/Regional optimization/Population aging/Propensity score matching分类
医药卫生引用本文复制引用
吉辉,刘瑞,周红艳,李敏,文雯..安宁疗护按床日付费政策的医保费用特征与区域优化建议[J].中国农村卫生事业管理,2026,46(7):481-486,6.基金项目
攀枝花市科学技术局2024年度第一批市级指导性科技计划项目(2024ZD-S-17) （2024ZD-S-17）
