韶关市老年人医疗保险费用控制研究  

STUDY ON THE COST CONTROL OF ELDERS MEDICAL INSURANCE OF SHAOGUANG CITY

作　　者：彭奕华 许红雁 王雁 陈红 高凌俊 

机构地区：[1]广东韶关市奥北人民医院,512026

出　　处：《现代预防医学》2005年第8期952-955,共4页Modern Preventive Medicine

摘　　要：目的:探讨老年人医疗保险费用控制的有效措施.方法:应用实证研究、定量分析和文献比较方法.结果:人口老龄化加剧,老年人群体占参加医疗保险人员比例逐年升高,2003年已达32.51%,老年人对医疗服务的使用一般是年青人的3～4倍,老年人每人次医保费用及平均住院日较其他医保人员高,老年人占用了医保基金中较大比例的费用.结论:医疗保险制度在老年人费用控制体现了相当的效率和质量,但仍需改善改革的外部环境,并重点加强对于老年人的医疗服务供需方的费用控制.Objective:To study the effective cost control measures of elders medical insurance.Methods:Positivism study , quantitative analysis and document compare analysis were applied .Results:The elderly tendency was speeding,the proportion of the elderly among the medical insurance people was rising year by year,it was 32.51% in 2003 , the used medical service of the elderly was 34 times more than the young , the medical insurance cost and average hospitalization time of every elder were higher than others , the elderly occupied more medical insurance fund.Conclusion:The Medical Insurance System shows quite efficiency and quality , it is important to improve the environment of reform , and emphasis on strengthening the management of hospitals and patients as the effective cost control measures for the elderly.

关 键 词：老年人 医疗保险 费用控制 

分 类 号：R197.1[医药卫生—卫生事业管理]