医疗保险模式对深圳市职工看病就医的影响分析  

The Application of Hospital Services in Health Insurance System.

作　　者：程茂金[1] 陈静[1] 王红[1] 陈翔 沈华亮 

机构地区：[1]同济医科大学社会医学研究所,武汉市航空路13号430030 [2]深圳市社会保险管理局,深圳市红岭南路518026

出　　处：《中国医院管理》1999年第4期13-14,共2页Chinese Hospital Management

摘　　要：为了研究医疗保险模式对职工就医行为的影响,采用分层整群随机抽样的方法对深圳市职工进行了调查分析,结果表明:实施医疗保险新模式,采用按平均费用标准偿付的支付方式,对职工看病就医的行为及卫生服务利用程度上都有很大影响,职工两周就诊率和年住院率均高于1993年全国大城市平均水平,而年人均住院日与之比较则偏低。参保职工比未参保职工能更充分地利用卫生服务。职工的就医行为更规范、合理。With the aid of health insurance system, hospitals maximize the health services benefits: expand the health services' coverage, accessibility and eguity through solution of the problem that low - income residents had to choose between borrowing to pay for medical service or doing without; increase universal efficiency and benefits of coordinated and cooperative health services netwark system, through increased and better use of information and communication channels and technologies; strengthen researches into cost - efficient, effective diagnostic and therapeutic methods suited to application at grass -roots service units, which deal with a large part of patients' illness episodes without or with guidance from higher - levels of service units; allow teaching hospitals on the cutting edge of medicine to devote resources to those needs that .cannot be met at other levels of complexity.

关 键 词：医疗保险模式 就医行为 卫生服务利用 深圳市 

分 类 号：R197.1[医药卫生—卫生事业管理]