不同支付方式腰椎间盘突出症患者减压并植骨融合手术住院费用分析

Hospitalized Expenses Analysis of Different Payment Methods for Patients Suffering Lumbar Disc Herniations Treated by Intradiscal Fusion Surgery

目的对2007—2009年医保与自费接受减压并植骨融合手术治疗腰椎间盘突出症的851例病例的医疗费用进行比较,分析医保病例的费用特点及与之相适应的费用控制办法。方法分析患者住院信息数据,对医保患者的费用特征进行比较分析。结果减压并植骨融合手术治疗腰椎间盘突出症的医保住院患者费用偏高,主要与药费、材料费和住院天数有关。结论付费方式是一个重要影响因素,应合理控制医保患者的医疗费用,从而更合理地利用卫生资源。

OBJECTIVE To compare the hospitalized expenses difference between medical insurance and at one’s own expense for 851 patients with protrasion of the lumbar intervertebral disci treated by intradiscal fusion surgery And to analyze the cost characteristics of medical insurance and to find the corresponding cost control methods. METHOD 851 patients were came from The Sixth Affiliated Hospital of Xinjiang Medical University since 2007 to 2009. The hospitalization information data was analyzed. And the cost feature of medicare patients were compared with which paid by themselves.. RESULTS Significant differences between two payment methods were found in this study. Higher medicare expenses for inpatients might be mainly relative with the charges for chemotherapy, medical materials and days in hospital. CONCLUSION Methods of medical payment might be an important role of medical costs control. How to control the hospitalized cost for patients owning medical insurance would be very helpful for taking full advantage of hygiene resource.