生育保险按人头付费方式对产科指标的影响研究

Study on the Effects of Maternity Insurance Capitation on Obstetric Index

目的:研究银川市职工生育保险人头包干付费对产科有关指标的影响,探讨其在降低剖宫产率、促进合理检查合理用药作用。方法:将2011年在银川市定点医院产科住院分娩产妇的有关指标,通过与2008-2010间的资料进行对比研究。结果:人头包干付费政策实施后,研究对象的剖宫产率由54.14%下降到35.38%、次均住院费用下降了9.52%、次均药品费用下降了45.24%、平均住院日降低了0.8天;次均医疗服务费用升高了9.39%。结论:人头包干付费模式实施后,对产科剖宫产率、医药费用等指标影响明显。

Objective： To study the effects of maternity insurance lump capitation on obstetric index in Yinchuan , discuss its impact on decreasing cesarean section rate and improving reasonable check and rational drug use. Methods： The relevant indexes of inpatient parturient in Yinchuan fixed-point hospitals in 2011 are analyzed by comparing with the data from 2008 to 2010. Results：After the application of capitation lump policy, the cesarean section rate of the research object decrease from 54.14% to 35.38%, average hospitalization expenditure decreased by 9.52%, per drug expenditure decreased to 45.24%, average length of stay decreased by 0.8 day and per medical service cost increased by 9.39%. Conclusion： Since the application of capitation lump mode, the effects on the indexes of cesarean section rate, medical and medicine cost are obvious.