593例医保患者住院费用分析  

Analysis of Expenditure in Medical Insurant Inpatients

作　　者：陈琳[1] 刘玉秀[1] 杨宝林[1] 

机构地区：[1]南京军区南京总医院医务部,南京210002

出　　处：《解放军医院管理杂志》2004年第2期189-191,共3页Hospital Administration Journal of Chinese People's Liberation Army

摘　　要：目的 :揭示医保患者住院费用及自理费用、自负费用的主要影响因素 ,探索建立合理费用控制机制的有效途径。方法 :对住院费用进行描述性统计分析及多元逐步回归。结果及结论 :加强对慢性病、特殊病的管理 ,按不同病种、不同诊治手段确立不同的分担比例 ;建立科学的医疗费用审查和评估体系 ,对医院的医疗行为全程监控 ,从而有效地控制医疗费用的不合理增涨 ;建立三级医院分层次服务模式以满足医疗保健的不同需求 ,改变病人的就医观念 ,促使患者合理分流及医疗资源合理配置 。Objective: Discover the main factors to self-affording and self-bearing expenditure in inpatients taking part in medical insurance bystatistic of expenditure, and explore the effective way controlling reasonable expenditure. Methods: Discriptive statistic analysis and multiple stepwise regression analysis. Results and Conclusion: Strengthen administration of chronic and unusual disease, set different ratio in accordance to disease and diagnosis; Build up sensor and appraising system on medical expenditure to supervise the whole process to control unreasonable rise of expenditure; Establish grade service mode to meet all demands, change idea of seeking doctors to flow patients, distribute medical resources and play sufficient roll of medical insurance.

关 键 词：医疗保险 住院费用 多元逐步回归 医疗资源 评估体系 

分 类 号：R197.322[医药卫生—卫生事业管理] F840.684[医药卫生—公共卫生与预防医学]