消化系统疾病医保患者住院费用因子分析  

An Analysis on Hospitalization Expenses Factors of Medical Insurance Patients of Digestive System Disease

作　　者：刘娟[1] 李系仁[2] 周士金[2] 

机构地区：[1]中国医科大学人文社科学院 [2]中国医科大学附属第一医院

出　　处：《中国病案》2011年第7期43-44,共2页Chinese Medical Record

摘　　要：目的探讨影响消化系统疾病医保患者住院费用的主要支配因子,为控制医疗费用的过快增长提供依据。方法分析某市三级甲等医院2009年-2010年5022名消化系统疾病医保患者住院费用。结果综合治疗因子、手术治疗因子、辅助材料因子、其他因子和中成药因子是支配消化系统疾病医保患者住院费用的公因子。结论加大卫生改革力度,实行药品收支两条线管理和药品公开招标;加强医院管理,改变医院收入结构;缩短平均住院天数,提高三日确诊率;重视针对消化系统疾病治疗的一般措施等4个方面是控制医疗费用过快增长的主要手段。Objectives A discussion on the main dominate factors affecting hospitalization expenses of medical insurance patients who had digestive system disease in order to provide basis for controlling rapid increasing of medical expenses.Methods An analysis on hospitalization expenses of medical insurance patients who had digestive system disease in tertiary and level-A hospitals from 2009 to 2010 in a city.Results The common factors dominate hospitalization expense of medical insurance patients having digestive system disease are comprehensive treatment factor,surgery treatment factor,auxiliary materials factor,other factors and Chinese patent medicine factor.Conclusions It suggests that we should deepen health reform and separation management of income and expenditure of medicine implement and public bidding of medicine;the main means of controlling rapid increasing medical expenses are that hospital management strengthening,hospital income structure change;the average hospitalization day reduction,diagnosis rate in three days improvement and value on countermeasures of digestive system disease treatment.

关 键 词：消化系统疾病 住院费用 医疗保险 因子分析 

分 类 号：R197.3[医药卫生—卫生事业管理]