城镇女性医保患者住院医疗费用的影响因素分析  

Analysis of affect factors on the expenditure in medical insurant inpatients with women

作　　者：闫子海 肖永红[1] 刘焕顺 张龙 赵民祥 

机构地区：[1]河北省滦县医疗保险中心,063700

出　　处：《中国妇幼保健》2006年第10期1317-1320,共4页Maternal and Child Health Care of China

基　　金：河北省科技厅课题(编号:05457270)

摘　　要：目的:探讨城镇女性医保患者住院医疗费用的影响因素,为建立合理的费用控制机制提供理论基础。方法:选择某县2004年度在县、镇级12个医院所有住院治疗的城镇参保女职工499例,从社会因素与非社会因素9个因素方面对其住院医疗费用进行分析,组间比较采用t检验及单因素方差分析,用多元逐步回归方法进行多因素分析。结果:女性医保患者住院医疗费用的主要影响因素依次为住院日、医院级别、收入水平,二甲医院住院总费高于一甲医院,随收入水平的提高和住院日的延长,住院费用增加。结论:缩短平均住院日,是有效控制医疗费用重要措施。Objective： To explore the affect factors on the expenditure in medical insurant inpatients with women in town, to provide the theory basis of logical expenditure mechanism. Methods： The datas derived from the information system of the town female medical insurant employee 499 medical insurant inpatients during 2004 in 12 hospitals with the method of the complete sample were enrolled in this study, The expenditures in medical insurant inpatients were analysed from the social factors and non - social factors. The comparison among groups with t - test and one way ANOVA （ analysis of variance）. The multi - factor stepwise regression analysis was used to study the social factors affecting the medical expense. Results： The main factors affecting the medical expenditure of female insurant inpatients were the hospitalized days , the hospital gracd and income level. The medical expenditure in county hospital was higher than in town hospital, As income level elevated and the hospitalizod days protracted, the medical expenditure increased. Conclusion： The measure of effective controlling medical expenditure is to shorten the hospitalized days.

关 键 词：医疗保险 女性 住院医疗费用 多元逐步回归分析 

分 类 号：R173[医药卫生—妇幼卫生保健]