医疗保险总额预付试点三级医院患者就医感受调查  

Survey on the Perception of Patients in the Global Budget Prospective Payment System in the Tertiary Pilot Hospitals

作　　者：杨虹宇[1] 刘宝[1] 于广军[2] 杨丽 郑培永 赵蓉 应晓华[1] 杜宁 厉传琳 杨中浩 黄玲萍 

机构地区：[1]复旦大学公共卫生学院.国家卫生和计划生育委员会卫生技术评估重点实验室,上海200032 [2]上海市儿童医院,上海200040 [3]上海申康医院发展中心,上海200041

出　　处：《中国医院管理》2014年第1期47-48,共2页Chinese Hospital Management

基　　金：IMS中国医疗健康信息学院资助项目

摘　　要：目的调查上海市实行医疗保险总额预付的三级医院中患者的就医感受。方法应用结构式调查问卷对上海市10家实行医疗保险总额预付的三级医院的699名患者进行面对面访谈,数据分析主要采用描述性统计。结果城保患者对门诊医生明显减少处方金额(或处方天数)的感受强于非城保患者,城保和非城保患者的住院就医感受差异无显著统计学意义。结论医疗保险总额预付对上海市三级医院患者就医感受总体效应似偏弱,而且有限的影响主要集中于门诊而非住院环节。Objective To investigate the patients perception in the tertiary hospitals managed by the global budget prospective payment system in Shanghai. Methods A total of 699 patients of the 10 tertiary hospitals managed by the global budget prospective payment system in Shanghai were surveyed face-to-face by the trained interviewers through using the structured questionnaire. Descriptive statistics was used in the data analysis. Results When compared with those without urban employee basic medical insurance, patients with urban employee basic medical insurance perceived stronger sense of regarding the reduction of the monetary amount of outpatient prescription, while had similar feeling of inpatient services. Conclusion The overall effect of the global budget prospective payment seems to be relatively weak on the perception of patients in the tertiary hospitals in Shanghai, and the limited effect mainly influenced outpatient ser- vices rather than inpatient services.

关 键 词：医疗保险 支付制度 总额预付 就医感受 

分 类 号：R197.1[医药卫生—卫生事业管理]