某钢铁企业尘肺患者电子档案的直接医疗费用分析  

Subject analysis of direct medical cost on pneumoconiosis patients with electronic records in an iron ＆ steel enterprise

作　　者：邱兵[1] 张敏[1] 李涛[1] 王忠旭[1] 林菡[2] 舒平[2] 

机构地区：[1]中国疾病预防控制中心职业卫生与中毒控制所,北京100050 [2]鞍钢劳动卫生研究所

出　　处：《中华劳动卫生职业病杂志》2009年第6期329-332,共4页Chinese Journal of Industrial Hygiene and Occupational Diseases

基　　金：基金项目：国家“十一·五”科技支撑计划（2006BAK05802）

摘　　要：目的分析尘肺患者直接医疗费用，为钢铁行业尘肺病单病种的医疗支付提供资料。方法以某钢铁企业医疗费用电子档案为基础，按尘肺病的分期、费用类型，选取了2003至2005年936例尘肺病例，计109530条费用记录，采用非参数检验方法分别对I期尘肺、Ⅱ期尘肺以及并发肺结核病例的医疗费用进行统计分析。结果尘肺患者门诊年人均医疗费用范围为476．7～2307．9元；住院尘肺患者年人均医疗费用范围为3207．1-7787.3元；I期、Ⅱ期尘肺患者年人均住院医疗费用中位数比较，差异无统计学意义（P〉0．05）。结论该地区尘肺病例年人均总医疗费用主要分布在3485．2～8566．9元，在住院费用中，药费、床费比例较高。Objective To study the distribution of the direct medical cost for the pneumoconiosis and to provide the clue for the trauma insurance. Methods 936 cases including 109,530 records were divid- ed into several groups by the stages of pneumoconiosis and categories of the cost. The groups （stage I , stage Ⅱ , stage I with tuberculosis and stage Ⅱ with tuberculosis） were analyzed by descriptive statistics and nonpa- rameter test. Results The medical cost of out-patient clinic was between 476.7 and 2307.9 yuan per patient per year. The hospitalization medical cost of stage Ⅰ and Ⅱ ranged from 3207.1 yuan to 7787.3 yuan per pa- tient per year. There was no difference between stage I and Ⅱ in statistically significant （P〉0.05）. Conclusion The lower and upper inter-quartile range of the total medical cost per patient per year is from 3207.1 yuan to 7787.3 yuan. In the categories of the hospitalization cost, drugs and bed fees attain a higher pro- portion.

关 键 词：尘肺 卫生保健费用 保险赔偿费 

分 类 号：R686[医药卫生—骨科学]