总额预付制控制住院医疗费用效果评价

The total prepaid system control effect evaluation of hospital medical expenses

目的通过对该院实施总额预付制后医疗费用核心指标的分析,评价总额预付制控制医疗费用的效果。方法采集该院总额预付实施后的2011年职工医疗保险住院病人的医疗费用作为观察组,实施前的2010年相关数据作为对照组,分析实施前后相关指标的变化。结果实施总额预付制后,住院人次有所下降,次均住院天数、次均住院费用、次均药品费用、次均自付费用都有显著下降,P值分别为0.0002、0.0000、0.0074、0.0000,差异有统计学意义。药占比无较大变化,P值为0.2816,差异无统计学意义。结论总额预付制是宏观控制医疗费用的有效手段。

Objective Analysis of core indicators to implement the total prepaid system in our hospital medical expenses, an evaluation of the total prepaid system to control medical expenses. Methods 2011 acquisition prepaid after the implementation of the total hospital inpatient medical costs of medical insurance for workers as the observation group, prior to the implementation of the 2010 data analysis before and after the implementation of indicators of change as a control group. Results To implement the global prepaid system, inpatients decline, times the number of days of hospitalization, cost per inpatient, times are drug costs, times are pocket costs have dropped significantly, P values were 0.0002,0.0000,0.0074,0.0000, differences statistically significant. The proportion of drug costs have not changed much, P= 0.2816, not statistically significant. Conclusion Total prepaid system is an effective means of macro-control medical costs.