医保与非医保患者急性阑尾炎住院费用分析

Comparative Analysis of Hospitalization Costs for Simplistic Acute Appendicitis Patients with and Without Medical Insurance

目的对医疗保险与非医疗保险住院患者医疗费用进行比较,分析医保病例的费用特点及相应的费用控制办法。方法以急性单纯性阑尾炎患者为研究对象,运用协方差分析和秩和检验分析医保与非医保患者的费用情况和费用的年度变化趋势。结果在急性单纯性阑尾炎治疗费用上,医保患者的费用高于非医保患者,且有显著性差异;医保患者的收费呈现年度递增趋势,有显著性差异。结论政府应采取价格控制,改革供方支付方式,完善医疗保险管理体制,从而有效地控制医疗费用。

Objective Compare and contrast the hospitalized medical expense of the patients＇ case with and without medical insurance, analyze the cost characteristics of the case with medical ＇nsurance and its corresponding methods that controlling the hospitalized cost. Methods Analysis of Covariance and Man-Whitney U test are used to analyze the medical cost and the annual tendency of the medical cost for the acute appendicitis patients with and without medical insurance. Results As simplistic acute appendicitis＇ treatment, cost for patients with medical insurance is significantly higher than the one without.There is a gradually Increasing tendency of annual medical treatment cost for the patients with medical insurance. Conclusion It shows thatgovernment need to have better supervision for the cost of medical insurance, reform the patient＇ s payment method, establish a reasonable cost compensation mechanism, in order to improve the medical insurance system.