社会因素对城镇医保职工住院医疗费用的影响  被引量:1

The effects of social factors on the expenditure in medical insurant inpatients

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作  者:闫子海 肖永红[2] 刘焕顺 张龙 赵民祥 

机构地区:[1]河北省唐山市滦县医疗保险中心,滦县063700 [2]华北煤炭医学院

出  处:《华北煤炭医学院学报》2006年第5期596-598,共3页Journal of North China Coal Medical College

基  金:河北省科技厅课题(编号:05457270)

摘  要:①目的探讨社会因素对城镇参保职工住院医疗费用的影响。②方法选择某县2004年度中所有在县、镇级12个医院住院治疗的城镇参保职工1145例,从社会学诸因素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。③结果老年患者、男性、退休人员、一级甲等医院、高收入水平等因素可使总医疗费用增加并均有显著性差异(P<0.01);职业因素和不同住址对总医疗费用无显著性影响(P>0.05)。④结论年龄、医院级别、收入水平是影响医疗费的主要因素。Objective To explore the effects of social factors on the expenditure in medical insurant inpatients. Methods The datas derived from the information system of the town medical insurant employee during 2004 in 12 hospitals with the method of the complete sample, 1145 medical insurant inpatients were enrolled in this study. The expenditures in medical insurant inpatients were analysed from the seven social factors, compared 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 Older, male, retiree, the frist stage hospital ,the income level were significantly related to the expenditure in medical insurant inpatients (P 〈 0. 01 ), while business and dwelling place were not significantly related to the expenditure in medical insurant inpatients (P 〉 0.05 ). Conclusion Age, hospital level, the income level are main factors affecting the expenditure in medical insurant inpatients.

关 键 词:社会因素 医疗保险 住院医疗费用 多元逐步回归分析 

分 类 号:R197.1[医药卫生—卫生事业管理]

 

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