不同医疗保险脑出血患者住院费用比较

The Analysis of the Hospitalization Expenses for Hematencephalon under Different Medical Insurance

目的:分析不同医疗保险脑出血患者住院费用,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2008-2012年间收治的脑出血患者住院病例信息,对住院费用进行分析。结果:费用中药品费比例高达42%,铁路企业的医保病人平均费用、平均药费、日均费用、检查费用最高,自费病人平均费用、日均费用和平均药费、检查费均低。住院费用主要影响因素有住院天数、年龄、保险方式、转归情况。结论:不同医保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住院医疗费用的管理,控制平均住院日、药占比、检查费用。

Objective：To compare the hospitalization expenses of patients with hematencephalon under different medical insurance and to explore the influential factor for controlling the increase of medical expense. Method： The case information of cerebral hemorrhage in our hospital during January 2008 to December 2012 was collected. The hospitalization expenses were analyzed by data description, one-way ANOVA and multi-factor linear regression. Results：Drug expenditure accounted for the highest proportion （42%） of hospitalization costs. The total average costs, daily average costs, average medicine costs and medical examination costs were the highest among railway workers, with the amount of 42811.6, 17867.36, 1279.71, and 14720.39 yuan RMB, respectively. While the corresponding expense at patients’ own expenses were the lowest. The major factors affecting the hospitalization expenses were the admission days, age, type of insurance and the treatment outcome. Conclusion：The hospitalization expenses of patients varied a lot under different medical insurance. To control the unreasonable increases of the hospitalization costs, the expense of hospitalization by different medical insurance must be supervised, and the admission days, the ratio of drug expense and medical examination should be under reasonable management.