医疗保险与非医疗保险脑梗死患者住院医疗费用比较

Analysis of Medical Expense of In-Patient with Medical Insurance and without Medical Insurance

目的对医疗保险与非医疗保险住院脑梗死病例医疗费用进行比较,分析医保病例的费用特点及相适应的费用控制办法。方法分析患者住院信息数据,对医保患者的社会学特征、病情特征及费用特征进行统计描述,同时对相同病种病情条件下的医保病例和非医保病例进行了配对费用比较分析。结果医保脑梗死住院患者费用偏高,但与其病情有关。其他各项指标之间比较无差异。结论控制医保患者的医疗费用,特别是药费,是医院占有医保市场的有效手段。

Objective To analyze the character of medical expense of the cases with medical insurance and seek for a right controlling measure on the basis of comparing the medical expense of the cases with medical insurance and without medical imurance. Methods To analyze the data of in - patient and describe their statistical characters in society, disease and expense. And to conduct paired comparative analysis of expense of the cases with medical insurance and without medical insurance in the same condition. Results Medical expense of the cases with medical insurance is higher, but it correlates to the cases characters in disease and severity. Conclusion It is an effective method in occupying the medical insurance market for hospital to control the medical expense, especially the drug expense of the patient with medical insurance.