利用健康体检资源节约医保资金

The utilization of health examination resource save medical insurance fund

目的探讨健康体检能否节约医保资金。方法观察2006年3月至2007年3月体检人群中371例因病住院后避免重复检查并缩短住院时间所节约的医疗费用。统计2007年1月至11月8种常见病和恶性肿瘤不同病程时的住院平均费用，观察1996年以来人院的部分体检人群进行5年的干预随访结果。结果由于避免重复检查、缩短住院时间，每人所节约的医疗费用570元，371人则节约21万元。2007年1月至11月8种常见病和恶性肿瘤疾病早期和晚期住院治疗费用差异是巨大的，如高血压Ⅰ期治疗费用为6608元、Ⅱ期为8838元、Ⅲ期为13869元、高血压心脏病为13033元。对1996年以来人院的部分体检人群进行5年的干预随访，随访结果证实大部分慢性疾病通过及时干预可以缓解甚至逆转，避免向耗费大量人力财力的不治之症转化。结论健康体检资源是一种不受社保资金限制的医疗资源，充分利用不仅可节约医疗费用，而且可早期发现、早期治疗疾病，从而在预防大病、重病的前提下节约人力、财力。

Objective To explore whether health examination save medical insurance fund or not. Methods To observe the sparing medical cost which 371 health examination people avoid repeated checking and shorten the length of stay during hospitalization from March 2006 to March 2007. To observe the effect of sparing medical cost because of regular health examination, early discovery diseases,pretreatment promptly and avoidance transforming to advanced diseases. Results Because of avoiding repeated checking and shortening the length of stay ,everybody save the medical cost about 570 yuan ,371 people can save about 21 ten thousands yuan. To statistics the average hospital cost of different courses of eight common diseases and malignant tumors from January to November at 2007, we discovered that the medical cost is large distinction between the earlier period and advanced stage of disease. For example： the medical cost of one stage of hypertension is 6608 yuan,the two stage is 8838 yuan,the three stage is 13 869 yuan,and the stage of hypertensive heart disease is 13 033 yuan. Parts of health examination crowd who stay at my hospital from 1996 were visited for five years ,we conformed many chronic diseases by prompt intervention can relieve and even reverse, avoiding the transformation to incurable disease which will consume a large number of strength and money. Conclusion Health examination resource is a medical treatment resource which isn＇t restricted by social security fund, the utilization can not only save medical cost but also discover and treat diseases earlier,thus we can save the strength and money before the advanced diseases.