摘要
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.
出处
《医学研究生学报》
CAS
2005年第9期827-830,共4页
Journal of Medical Postgraduates
基金
军队"十五"医药卫生科研基金资助项目(批准号:03M008)
关键词
住院费用
医疗保险
病种管理
Medical expenses
Medical insurance
Disease management