2010年-2013年新疆某二级医院不同医保类型患者住院费用分析

Hospitalization Costs Analysis of Different Types of Medical Insurance Patients in a Second hospital of Xinjiang from 2010 to 2013

目的比较2010年-2013年这四年不同种类医保患者的住院费用,为有效控制住院医疗费用不合理增长提供科学依据。方法从新疆某二级甲等综合性医院获取数据20342例,运用描述性统计方法对不同医保患者住院费用及构成比例进行描述。结果新农合患者的次均住院费用最高,2010年-2013年新农合患者的次均住院费用为27654.02±6143.76;住院费用构成中,药品费用逐年下降,所占比例由49.09%下降到24.98%,但所占比例(新农合除外)仍然最高,占到40%左右。结论各类医保应加强对药品费用的控制,新农合管理中心加强对定点医疗机构的时时监管,控制住院次均费用。

Objectives To compare the hospitalization costs of different types of medical insurance patients in the four years from 2010 to 2013, and provide a scientific basis for effectively controlling of the unreasonable growth of the hospitalization medical costs. Methods The data of 20342 cases was got from a Class A and Secondary Hospital in Xinjiang, then make a description on the hospitalization costs of different types of medical insurance patients and relevant proportion with the application of descriptive statistical analysis method. Results The average hospitalization costs of patients each time with new rural cooperative medical system was the highest, which was 27654. 02 ＋ 6143.76 from 2010 to 2013. The drug expenses declined year by year in the constitution of hospitalization costs, which was decreased from 49.09% to 24. 98%, but its proportion （except for the new rural cooperative medical system） was still the highest, which accounted for 40%. Conclusions All kinds of medical insurance should strengthen the controlling of drug expenses. The new farming and management center （NFMC） should strengthen the supervision of designated medical institution constantly, as well as control the average hospitalization costs of each time at the same time.