城乡医保整合对农村中老年慢性病人群就医费用的影响  

Impact of Urban and Rural Medical Insurance Integration on the Medical Expenses of Middle-aged and Elderly People with Chronic Diseases in Rural Areas

作　　者：唐志鹏 TANG Zhi-peng(Medical Insurance Department of Tianjin Huanhu Hospital,Tianjin 300000,China)

机构地区：[1]天津市环湖医院医保科,天津300000

出　　处：《医学信息》2024年第16期115-118,共4页Journal of Medical Information

摘　　要：目的分析城乡医保整合对农村中老年慢性病人群就医费用的影响。方法选取2022年7月-12月我院开展城乡医保整合试点的213例农村中老年慢性病人群设为实施后组,另选取2022年1月-6月我院诊治的212例农村中老年慢性病人群设为实施前组,比较城乡医保整合实施前后医疗服务需求(住院次数、住院时间、因经济未住院率、门诊就诊率)、就医费用(门诊总费用、住院总费用、门诊自付总费用、住院自付总费用)、农村中老年慢性病人群人均就医费用、住院时间的双重差分法。结果实施后组住院次数、住院时间、因经济未住院率、门诊就诊率均优于实施前组(P<0.05);实施后组门诊总费用、住院总费用高于实施前组,门诊自付总费用、住院自付总费用均低于实施前组(P<0.05);实施后组农村中老年慢性病人群人均就医费用和住院时间差分效应值均高于实施前组(P<0.05)。结论城乡医保整合对农村中老年慢性病人群就医费用具有一定的影响,可增加农村中老年慢性病人群医疗服务需求,提升就医费用,减少了农村中老年慢性病人群的自付就医费用,一定程度减轻了农村中老年慢性病人群的经济负担。Objective To analyze the impact of urban and rural medical insurance integration on the medical expenses of middle-aged and elderly people with chronic diseases in rural areas.Methods A total of 213 rural middle-aged and elderly people with chronic diseases who carried out the urban and rural medical insurance integration in our hospital from July to December 2022 were selected as the post-implementation group,and 212 rural middle-aged and elderly people with chronic diseases who were diagnosed and treated in our hospital from January to June 2022 were selected as the pre-implementation group.The medical service needs(number of hospitalizations,hospitalization time,rate of non-hospitalization due to economy,rate of outpatient visits),medical expenses(total outpatient expenses,total inpatient expenses,total outpatient out-of-pocket expenses,total inpatient out-of-pocket expenses),per capita medical expenses and hospitalization time of rural middle-aged and elderly people with chronic diseases were compared before and after the integration of urban and rural medical insurance.Results The number of hospitalizations,hospitalization time,rate of non-hospitalization due to economic reasons,and rate of outpatient visits in the post-implementation group were better than those in the pre-implementation group(P<0.05);the total outpatient expenses and total hospitalization expenses in the post-implementation group were higher than those in the pre-implementation group,and the total outpatient expenses and total hospitalization expenses were lower than those in the pre-implementation group(P<0.05);the difference effect values of per capita medical expenses and hospitalization time of rural middle-aged and elderly people with chronic diseases in the post-implementation group were higher than those in the pre-implementation group(P<0.05).Conclusion Urban and rural medical insurance integration has a certain impact on the medical expenses of rural middle-aged and elderly people with chronic diseases.It can increase the medical

关 键 词：城乡医保整合 农村 中老年 慢性病人群 就医费用 

分 类 号：R197[医药卫生—卫生事业管理]