北京市A类定点医疗机构2002-2005年医保费用趋势分析

Trend analysis of social health insurance cost in A class appointed healthcare facilities in Beijing from 2002-2005

目的:分析北京市医疗保险A类定点医疗机构的费用增长趋势,为制定北京市的医保政策提供依据。方法:用Excel2003建立数据表,对2002-2005年1-2月北京市11家A类定点医疗机构的次均住院费用、次均药费、次均检查费、次均材料费和个人自付比例分别进行分析。结果:北京市11家A类定点医疗机构的次均费用增长减慢,次均药费和次均检查费有下降趋势,但次均材料费和个人自付比例增长趋势未改变。个人自付比例与次均材料费呈正相关(相关系数0.002,P=0.003)。结论:抑制个人自付比例和医保费用增长的重点是抑制材料费的增长。

Objective： to analyze the trend of social health insurance cost in order to make evidence based policies of social health insnrance in Beijing. Method： account whole cost, drug cost, test cost, material cost of per inpatient and the percent of out of pocket from 2002 to Feb. 2005 with Excel 2003. Result： The increasing trend of whole cost of per inpatient has been eliminated. Drug cost and test cost decreases. The trend of material cost end the percent of out of pocket keep increasing. There are positive relation between the percent of personal out-of-pocket and the material cost of per inpatient （R=0.002, P=0.003）. Conclusion： The key of containment of out-of-pocket and increasing of social health insurance cost is containment of material cast.