住院的六种常见疾病费用分析

The study on inpatient expenses of six diseases

目的:了解住院的六种常见疾病费用构成情况,提出控制医疗费用不合理增长的有效方法。方法:从西安市两所三级甲等医院2003-01-01至2004-10-01全部患者的病历首页中,选取六种常见疾病患者共22 582例,对医保及自费患者的费用构成进行对比分析。结果:六种常见疾病是当前患者住院的主要病因,其中又以恶性肿瘤患者为最多。自费患者的药费明显高于医保患者,是导致费用升高的主要因素。结论:医保政策的实行对于控制药品费用的不合理增长起到了良好效果,针对不同病种,采取不同的控制策略,对于合理分配和利用医疗资源、减轻人民群众生活负担具有重要意义。

Objective： To analysis the medical expenses of six diseases and put forward the efficient methods to control their unreasonable rise. Methods： 22 582 patients with six diseases in two largest hospitals in Xi＇an were chosen and analyzed from 1/1/2003 to 10/1/2004. Results： Six diseases were the main reason of hospitalization and the malignancy was most important ; drug expense of the uninsured patients, which was the key factor to induce the medical expenses rising, was higher than insured patients. Conclusion： The medical insurance program could control the drug expense efficiently; different control strategies to different diseases were important to distribute the medical resource and lighten the life burdens of the inpatients.