银川市城镇职工医疗保险门诊大病利用及次均费用分析

Analysis of the Service Utilization and Average Outpatient Expense of Serious Outpatient Diseases Policies on Urban Employees Insurance in Yinchuan

目的分析银川市城镇职工门诊大病的利用情况。方法采用描述性统计分析、χ2检验和方差分析对职工门诊大病的利用情况进行分析。结果城镇职工医疗保险参保人员门诊大病次均费用与性别、年龄组、参保单位类型、在职状态、是否享受公务员医疗补助及缴费工资基数存在相关性。结论 (1)合理选择门诊大病病种,保证保障公平性;(2)完善重点病种的费用控制措施;(3)引导慢性病病人到社区医疗机构获得门诊服务。

OBJECTIVE Analysis of service utilization and average outpatient expense of urban employees insurance serious outpatient diseases in Yinchuan. METHODS Using descriptive statistics, chi-square test and variance analysis to analyze the service utilization average outpatient expense of urban employees insurance serious outpatient diseases. RESULTS The employees gender, age, department , the state and worker salary were the influencing factors of service utilization and the expenses. CONCLUSION （1）Choosing the kinds of serious outpatient diseases through the reasonable methods; （2）Controlling the expenses of some special diseases： （3） Making chronic patients get outpatient service in community health service institutions.