急性单纯性阑尾炎不同医疗保险形式患者住院费用分析

Hospital expenses of acute simple appendicitis in different medical insurance systems

目的比较分析不同医疗保险形式急性单纯性阑尾炎患者住院费用,探索影响医疗费用的因素,为合理控制医疗费用增长提供参考。方法收集某院2006-2011年间收治的住院急性单纯性阑尾炎病例信息,对住院费用进行描述性分析、单因素方差分析及多元线性回归分析。结果费用中以药品费比例最高达36.16%,城镇职工医保病人平均费用4 970.07元和平均药费2 586.33元最高,新农合病人日均费用597.62元最高,自费病人平均费用、日均费用和平均药费均低。住院费用主要影响因素有住院天数、是否手术、年龄、保险方式、转归情况。结论不同医疗保险患者的住院费用差别很大。控制医疗费用的不合理增长,应加强对不同医疗保险方式管理和控制平均住院日。

Objective To compare the hospital expenses of patients with acute simple appendicitis under different medical insurance systems and to explore the influential factors for controlling the increase of the expense.Methods The case information of acute simple appendicitis hospitalized in our hospital from January 2006 to December 2011 were collected.The hospital expenses were analyzed by descriptive analysis,one-way ANOVA analysis and linear regression analysis.Results Drug expenditure accounted for the biggest proportion of 36.16%in hospital costs.The average cost and the average expenses for medicine were the highest in medical insurance for urban workers,4 970.07 yuan and 2 586.33 yuan,respectively.The daily cost of 597.62 yuan for new rural cooperative medical insurance patients was the highest,while the costs for the patients at one＇s own expenses were lower.The major factors affecting the hospital expenses were hospital stay,any surgery,age and payment method.Conclusion The hospital expenses of patients under different medical systems vary a lot.To control the unreasonable increase of the hospital costs,much attention should be paid to managing the different medical insurance forms and controlling the hospital stay of patients.