某军队医院军地人均住院费用分析  

Hospitalization Expenditure of Military and Local Inpatients in a Military Hospital

作　　者：肖翠娥[1] 

机构地区：[1]解放军163医院经济管理科,湖南长沙410003

出　　处：《华南国防医学杂志》2010年第5期413-416,共4页Military Medical Journal of South China

摘　　要：目的通过对军地人员人均住院费用多层次对比分析,寻求军地人员住院费用内在规律,促进军队医疗保障制度改革进一步深化。方法对2002/2008年军地住院人员的住院费用信息,应用Excel和SPSS13.0软件进行统计分析。结果①军队保障的总体人员与地方人员在人均住院总费、人均住院药品费中差异无统计学意义,人均住院检查检验费、日均住院费差异有统计学意义。②军队保障内军人与地方人员在人均住院总费、人均住院药品费、日均住院费中差异无统计学意义,人均住院检查检验费差异有统计学意义。③军队保障内非军人(职工和家属)与地方人员在人均住院总费、人均住院药品费、日均住院费中差异有统计学意义,人均住院检查检验费差异无统计学意义。④军队保障内军人与非军人在人均住院总费、人均住院药品费、人均住院检查检验费、日均住院费中差异均有统计学意义。结论①军队人员人均住院费用增加明显,军地"同病同治"原则得到落实。②军队人员分类保障模式运行良好,重点保障目的基本实现。③军队人员就医和费用管理机制需要完善。Objective By multiple comparative analysis,the characteristics of medical expense of military and local inpatients were explorated in order to promote the reform of military medical care system.Methods The medical expense data of military and local inpatients from 2002 to 2008 were collected and comparatively analysed by Excel and SPSS 13.0.Results ① There was no significant difference in military and local inpatients on average hospitalization expenditure （AHE） and average medicine expenditure,but there was significant difference on average expenditure of exams and tests and average daily hospitalization expenditure. ② There was no significant difference in army inpatients and local inpatients on AHE,average medicine expenditure and average daily hospitalization expenditure,while the difference on average expenditure of exams and tests was statistically significant. ③ There was significant difference in the non-army inpatients （the employees and relations） and local patients on AHE,average medicine expenditure and average daily hospitalization expenditure,but there wa no significant difference in average expenditure of exams and tests. ④ There was significant difference in army and non-army inpatients on AHE,average medicine expenditure,average daily hospitalization expenditure and average expenditure of exams and tests.Conclusion ① The AHE of military inpatients increases obviously,which fulfill the principle of ＂same therapy to same disease＂. ② The classified service system runs well,the desired objective of focused health care is achieved. ③ The managing mechanism of reasonable medical consumption should be concummated.

关 键 词：军队医院 军队医疗保障制度 人均住院费 

分 类 号：R197.3[医药卫生—卫生事业管理]