医保患者住院费用负担及影响因素分析  

Analysis of the expenditure burdens and influencing factors of 1588 medical-insured inpatients

作　　者：杨涛[1] 冷明祥[2] 

机构地区：[1]南京医科大学公卫学院南通大学附属南通第三医院,江苏省南京210029 [2]南京医科大学医政学院

出　　处：《中国基层医药》2009年第10期1737-1738,共2页Chinese Journal of Primary Medicine and Pharmacy

基　　金：江苏省社会科学基金项目（06JSBSH011）

摘　　要：目的评价不同收入、不同年龄医保患者的住院费用及个人负担情况，对影响费用的多种因素进行分析，为政府制定相关政策提供依据。方法调查南通市某院1588例住院医保患者，了解其收入及医疗费用情况，运用t检验或F检验，X^2检验方法，探索不同收入、不同年龄分组患者的费用负担及影响因素。结果不同收入患者费用负担有明显差异性，老年患者组费用负担明显多于其他年龄组。结论加强政府职能，完善医保制度，对低收入人群和老年慢性病患者应加大投入，更多关注。Objective To evaluate the hospitalization charges of medical-insured patients with different incomes, different age and the burdens shared by individuals, to analyze the multiple factors that influence the charges and provide basis for goverment policy making. Method We investigate the medical costs and incomes of 1588 medical-insured inpatients in a Nantong hospital, study the expenditure burdens and influencing factors of patients with different income and different age appling T-test, F-test, and X^2 test. Results There is singificant difference in expenditure burdens between patients of different income level, the expenditure burdens are obviously heavier in group of old age patients than in other age groups. Conclusion It is necessary to reinforce the government functions and perfect the health security system,low income groups should be given more attentions and cares.

关 键 词：保险 长期医疗 住院病人 费用 医疗 

分 类 号：R197[医药卫生—卫生事业管理]