基于城乡一体化的某县乡镇卫生院门诊费用实证分析

Empirical Analysis on Outpatient Costs of Township Hospitals in a Certain Country Based on Urban-Rural Integration

目的:揭示城乡医疗保障一体化后,影响乡镇卫生院患者次均费用的主要因素,为控制农村居民医药费用的增长提供依据。方法:比较不同性别、年龄、疾病类型的患者次均费用,并采用SAS 9.1统计软件对这些影响因素进行统计描述。结果:(1)90%的门诊费用都控制在100元以内;(2)2010和2011年次均费用维持在60元以内,但如冠心病、高血压等慢性病的次均费用不降反升,门诊人次有所增加;(3)农村慢性病患者有增长趋势,且趋于年轻化。结论:应加强乡镇卫生院医疗建设,并做好对广大农村居民常见病、慢性病的健康教育及预防保健工作。

Objective： To provide information for controlling the rural residents＇ medical expenses effectively by pointing out the main factors which influence outpatients medical expense since the integration of urban and rural medical insurance has been implemented. Methods： Compare the average cost spent by patients of different gender, age, and type of diseases, and use SAS9.1 statistical software to analyze these different factors. Results： （1） the 90% of the costs are controlled within RMB 100; （2） the average outpatient cost remained within RMB 60 in 2010 and 2011, but costs on coronary heart disease, hypertension and other chronic diseases increased, and the number of patients increased obviously; （3） the number of some common chronic diseases is increasing, and the patients tend to be younger in rural areas. Conclusion： It is necessary to strengthen the medical construction of township health centers, and improve health education and health care on some common diseases and chronic diseases for rural residents.