某三甲医院医保与自费胃部恶性肿瘤病人住院费用调查分析

目的旨在通过对乌鲁木齐市某三甲医院医保与自费病人住院总费用及各单项均次费用情况的调查,为完善医疗保险制度医疗费用的制约机制提供科学的依据。方法对所选研究对象通过Excel2003建立数据库,并采用SPSS13.0软件以住院费用为应变量,研究对象的性别、手术情况、住院天数、药费为自变量进行统计学分析,运用t检验和方差分析比较各因素与住院费用的关系。结果医院医保与自费胃部恶性肿瘤患者(包括性别)在住院总费用及各均次单项费用方面并没有显著差异;各均次费用住院天数≤15天的患者均小于住院天数>15天的患者费用;两种类型住院病人手术与否对各均次费用产生的差异明显。结论进一步实施单病种限价政策和提高医保的覆盖面;加快病床周转次数,有效利用医疗资源;推进医药分开,适当提高医疗技术服务价格。

Objective In order to provide effective evidence to perfect restrict system on rules of medical treatment insurance, it investigated the situation of total and hospital expense per time between those who are at medical treatment insurance and those who are at their expense in some Class A hospital in U rumqi. Methods Datas of the objects were put into Excel2003 database,analysis the sex, operation,in hospital and medicine fee use of the objects were used SPSS13.0 software. Compared each factor with the hospitalization expenses were adopt T examination and Variance analysis. Result There was no difference between those who are at medical treatment insurance and those who are at their expense of stomach cancer. Each hospital expense per time on patients who were ≤15 in hospital was less than that of 〉 15. There was a obvious difference on hospital expense per time between two kinds of patients whether on operation or not. Conclusion In addition, carrying out policy of limited price of single illness and enhance the coverage of medical treatment insurance . In Speed of the frequnce of sickbed, in order to effectively make use of medical treatment resources. In addition, sepa-rating pharmacy from medical and properly raising the service price of medical treatment technique.