如何利用中药降低费用?——基于宁夏住院患者中药费用与优势病种的分析  

How to reduce health expenses by using Traditional Chinese Medicine(TCM)? Based on the analysis of inpatients' TCM expenses and typical diseases in Ningxia Province

作　　者：卢意来希 李林贵[2] 卞鹰[1] 

机构地区：[1]澳门大学中华医药研究院,澳门999078 [2]宁夏医科大学管理学院,宁夏银川750004

出　　处：《中国卫生政策研究》2017年第7期53-58,共6页Chinese Journal of Health Policy

摘　　要：目的:分析使用中药对住院患者医疗费用的影响,探讨使用中药是否对降低某些病种的医疗费用更具优势。方法:以宁夏13家综合公立医院住院患者的病案信息建立数据库,运用多元线性回归模型分析中药的使用对住院费用的影响。结果:使用中药患者的平均住院费为8 276.24元,显著高于未使用中药的患者7 254.59元(P=0.000);当中药费占药费比例大于10%,使用中药患者的住院费用更低,且中药费比例越高住院费用越低;耳和乳突疾病、循环系统疾病以及起源于围产期某些情况的三类系统疾病患者使用中药治疗药费更低(P=0.000),中药费占药费比例最高的循环系统疾病中,无使用中药患者住院费是使用中药患者的2倍。结论:以中医药为主的治疗才能充分发挥中药在循环系统引发的慢性疾病等优势病种中的治疗及价格优势。Objective The objective of this paper is to statistically analyze what influence can the utilization of Traditional Chinese Medicine （TCM） have on healthcare expenses of inpatients, and to investigate whether TCM has an advantage of reducing healthcare expenses among certain diseases. Method： Inpatient medical records from 13 public general hospitals in Ningxia Hui autonomous region were collected to set up a database. A multiple linear re- gression models was established and used to analyze the impact of using TCM on hospitalization expenses. Results： The findings have shown that inpatients who apply TCM have significantly higher hospitalization expenses, with an es- timated average of ？ 8 276.24, while those who do not apply TCM in their treatment spend ？ 7 254.59 on average （P = 0. 000）. When the proportion of TCM expense higher than 10% of total drug expense, inpatients who apply the TCM have lower hospitalization expenses. In addition, hospitalization expenses decrease with the increase of TCM proportion. Among the diseases of the ear and mastoid disease, diseases of the circulatory system, and certain condi- tions originating in the perinatal period, inpatients who apply TCM have significant lower hospitalization expense （P = 0. 000）. Hospitalization expense of inpatients who do not apply TCM is twice as much as that of those who apply TCM in the treatment of among diseases of the circulatory system, which has the Only when applying TCM as main therapy can provide price advantage of TCM chronic diseases, and other advantages of treatment. largest TCM proportion. Conclusion ： circulatory system caused by

关 键 词：住院患者 中药 药费 医疗费用 

分 类 号：R197[医药卫生—卫生事业管理]