家庭病床与住院病床医疗费用差异比较

COMPARISON OF DIFFERENCE BETWEEN MEDICAL-FEE IN FAMILY-BED AND HOSPITAL-BED.

目的 :探讨家庭病床与住院病床医疗费用的差异 ,为家庭病床的费用支付及其开展提供参考依据。方法 :从成都市劳动和社会保障局随机抽取了 2 0 0 3年 1月至 6月曾经利用医疗保险统筹基金的病例 ,其中包括住院病例 2 0 7例 ,家庭病床病例 2 30例。采用 SPSS1 1 .0作统计分析。结果 :随机抽取的家庭病床病例 ,在与住院病床医疗费用差异比较中 ,除了单项的药品费用外 ,其余各项均低于住院病床 (Z值在 - 4 .75 3到 - 1 8.892之间 ,P值均小于 0 .0 5 )。而在统筹基金利用情况方面 ,其统筹费用低于住院病床病例 (Z=- 4 .5 4 5 ,P<0 .0 5 ) ,自付费用高于住院病床病例 (Z=- 3.92 9,P<0 .0 5 )。另外家庭病床病例在一二级医疗机构诊治其自付费用与在三级医疗机构诊治的自付费用差异有统计学意义 (Z=- 3.5 90 ,P<0 .0 5 )。结论 :家庭病床 ,在医疗费用节省方面优于住院病床 ,家庭病床病人在一二级医疗机构诊治其自付费用低于三级医疗机构。

Objectives:To investigate difference between medical fee in family-bed and hospital-bed and to privide reference for the fee payment of family-bed. Methods:207 hospital-bed cases and 230 family-bed cases which had used consolidated fund from January to June in 2003 were sampled randomly from Chengdu Bureau of Labor and Social Security, then these data were analysed statistically by SPSS 11.0.Results:The fees of family-bed cases are lower than the fees in hospital-bed cases except for the fee in drug. But in the aspect of using consolidated fund,the consolidated fee in family-bed cases is lower than that in hospital-bed cases and the self-affording fee is higher than that in hospital-bed cases. Furthermore,for family-bed cases, the difference between self-affording fee which was afforded in the first-and-second-level hospital and that in the third-level hospital is significant.Conclusions:Family-bed is superior to hospital-bed in saving medical fee. For family-bed cases, self-affording fee which afforded in the first-and-second-level hospital is lower than that in the third-level hospital.