某军队医院不同费别肺炎患者住院费用分析  

Analysis on Expense of Hospitalization of Pneumonia Patients with Different Payment Methods in a Military Hospital

作　　者：赵帅[1] 张云宏[1] 史江云[1] 柳英[1] 

机构地区：[1]新疆军区总医院经济管理科,新疆乌鲁木齐830000

出　　处：《华南国防医学杂志》2016年第10期667-669,共3页Military Medical Journal of South China

摘　　要：目的通过比较医保、自费和军队医改3类不同费别肺炎患者在住院费用上的区别,为降低医保、自费肺炎患者的费用支出提供数据支持及借鉴。方法选取某三甲医院2015年1513名治愈出院的肺炎患者为研究对象,分析费用差别及其原因。结果在住院天数、病情危重程度无明显差异情况下,医保和军队医改肺炎患者在费用上差异有统计学意义(P<0.05);军队医改肺炎患者病情危重程度明显高于自费肺炎患者,但两者在费用上差异无统计学意义(P>0.05)。结论通过对不同费别肺炎患者费用对比,医院应减少患者的费用支出,降低医疗成本。Objective To compare the cost of hospitalization among pneumonia patients paid by medical insurance,individual medical care and military medical reform,to provide the data and reference for reduction of hospitalization expenses on patients with or without medical insurance.Methods A total of 1513 pneumonia patients at a certain military top three hospital in 2015 in Xinjiang province were included and analyzed.The difference in fees and the reasons for it was by one-way analysis of variance.Results In the circumstances of no obvious distinctions in the hospital stays and disease severity,there were singnificant difference in fees between medical insurance and military medical reform.The patients with military medical reform were more seriousill than ones with medical insurance,but there was no significant difference in fees between them.Conclusion After comparison of the patients with different payment methods,the hospitals should decrease expenses of the patients to reduce medical costs.

关 键 词：医保 自费 军队医改 费用分析 肺炎 

分 类 号：F840.684[经济管理—保险]