新农合制度下农村慢性病患者住院费用实证分析  

Empirical Analysis of Hospital Cost on Chronic Diseases basing on the New Rural Cooperative Medical System

作　　者：刘沛[1] 熊林平[1] 王辉[2] 

机构地区：[1]第二军医大学,上海200433 [2]陕西省宝鸡市卫生局

出　　处：《中国卫生事业管理》2014年第7期525-527,共3页Chinese Health Service Management

基　　金：国家自然科学基金"医疗保障制度城乡一体化微观模拟研究"(编号:71073171)

摘　　要：目的:针对参合患者常见慢性病,重点分析次均住院费用、医疗费用构成、不同性别、年龄组慢性病患者构成比,对进一步完善新农合慢性病医疗救治方案提供理论支撑。方法:以2011年某县全年参合慢性病患者在基层医疗机构的次均住院费用、日均住院费、医疗费用构成等为研究指标,利用SPSS15.0统计分析软件对数据进行整理、分析。结果:①次均住院费用1777元、日均住院费用185元,低于国家第四次卫生服务调查的相应费用;②中药在乡镇卫生院所占比重高于县级医院;③慢性病住院患者女性构成比高于男性;④慢性病住院患者多集中在45岁及以上年龄组。结论:充分发挥了中医药在医疗服务中的作用,不仅与国家政策相符合,也切实减轻了农村慢性病患者的医疗费用。Objective To analyze the average expenses, structure of cost, and the proportion of patients with chronic diseases in different gender and age by focusing on common chronic diseases of participation, and to provide theoretical support for improving the NRCMS. Methods Using SPSS15.0 statistics software to analyze the average costs, days of hospitalization, daily costs in 2011. Results （1） The average costs （1777yuan） and daily cost （ 185 yuan） are less than the fourth national health services survey ;（2） The proportion of traditional Chinese medicine in township hospitals is higher than counties hospitals ; （3） The proportion of female is higher than male;（4） Chronic inpatients are more concentrated in the age of 45 and over. Conclusions Traditional Chinese medicines play an important role in heahhcare,it is not only accordance with the national policies, but also effectively reduce the medical ex pense.

关 键 词：慢性病 次均费用 日均费用 住院天数 

分 类 号：R197.1[医药卫生—卫生事业管理]