医疗保险费用影响因素及控制对策  

Research on Influence Factors and Countermeasures of the Expense Control of Medical Insurance

作　　者：刘石柱[1] 詹长春[1] 周绿林[1] 

机构地区：[1]江苏大学管理学院,江苏镇江212013

出　　处：《中国卫生经济》2012年第8期33-35,共3页Chinese Health Economics

基　　金：教育部人文社科研究项目(09YJG840013)

摘　　要：目的:确定医疗保险费用影响因素,提出医疗保险费用控制对策。方法:通过文献研究和专家咨询,并运用镇江市数据,统计分析医疗保险费用控制影响因素。结果:医疗保险可报费用、药品费用、参保人群的年龄结构以及参保人员就医的医院级别是影响医疗保险费用的主要因素。结论:要有效控制医疗保险费用,需要针对主要影响因素,从完善医疗保险支付制度、控制医疗费用、开展健康宣传和健康教育活动、引导参保人群合理就医等方面采取措施。Objectives： To confirm the influence factors of the medical insurance expense control and provide some . Methods： The reference study, the expert consultation and the statistical analysis of the influence factors for medical insurance expense control using data collected from Zhenjiang City in Jiangsu Province are used. Results： The major factors are the expense paid in medical insurance, the expense for drug, the age structure and the hospital level. Conclusion： Some strategies about promoting the health propaganda and health education, improving the medical insurance payment system, controlling medical expense and guiding people to hospitalize in reason are proposed.

关 键 词：医疗保险 费用控制 影响因素 支付制度 

分 类 号：F842.6[经济管理—保险] R197.1[医药卫生—卫生事业管理]