17838例医保病人住院费用的构成分析  

Composition Analysis on 17838 Cases of the Medical Insurance Patients' Hospitalization Expenses

作　　者：闫小萍[1] 董一颍[1] 杨宇[1] 郝昱文[1] 卢沙林[1] 

机构地区：[1]武警总医院计算机中心

出　　处：《中国病案》2011年第4期51-52,共2页Chinese Medical Record

摘　　要：目的分析医疗保险病人住院费用的构成比例,为控制医疗费用的不合理增长,提高卫生资源的利用率提供有效依据。方法对2005年-2009年出院的17,838例医保病人进行医疗费用构成分析,对比自费与医保病人的费用结构,以及不同因素对医保患者费用结构的影响。结果药品费占医保病人住院总费用的比例最大,其次是材料费。结论控制药品费,加强药品使用环节的监管;适当提高技术性收费标准;实施单病种付费,加强制约机制。Objective To Analyze the constitution of the Medical Insurance Patients＇ Hospitalization Expenses to provide evidence to control unreasonable increase of medical costs and improve the rational utilization rate of medical recourses.Methods The structure of hospitalization expenses were analyzed in 17838 medical insurance patients discharged from hospital during 2005-2009,comparing the structures of costs of Medicare patients with those at their own expense,and investing the influence of different factors on the structure of Medicare patients＇ costs.Results Expenses of drug accounts for medicare in-hospital total cost of proportion is the largest.Second is the cost of materials.Conclusion Control drug costs,strengthen the regulatory aspects of drug use;increase technical fees appropriately;use DRGs to strengthen the restriction mechanism.

关 键 词：医疗保险 住院费用 药占比 

分 类 号：R197.3[医药卫生—卫生事业管理]