2013—2017年我国不同医保类型肺癌患者住院费用分析

Analysis on the Hospitalization Costs of Lung Cancer Patients with Different Medical Insurance Types in China from2013 to 2017

目的:了解不同医保制度对肺癌住院费用的影响,为完善医保政策和合理控制医疗费用提供建议。方法:使用国家卫生健康委统计信息中心4303224例肺癌患者个人住院病案首页数据,应用描述性统计方法分析不同医保类型肺癌患者住院费用水平及变化趋势。对不同医院类型、不同年龄患者中不同医保类型住院费用进行分析。结果:不同医保类型患者住院费用水平差距较大,城镇职工医疗保险患者费用高于城镇居民医疗保险患者,最低为新型农村合作医疗患者。自费患者费用高于医保患者。结论:应加强对医患双方医疗服务和利用管理,控制诱导医疗和过度需求等导致医疗费用不合理增长的因素,提高肺癌患者的医保覆盖率。

Objective:To understand the influence of different medical insurance systems on the inpatient expenses of lung cancer,and to provide suggestions for improving medical insurance policies and reasonably controlling medical expenses.Methods:The inpatient medical record home page of 4303224 patients with lung cancer are provided by the Statistical Information Center of the National Health Commission.Descriptive statistical methods are used to analyze the level and trend of inpatient costs of lung cancer patients with different types of medical insurance.The inpatient costs of different medical insurance types in different hospital types and patients of different ages are also analyzed.Results:Patients covered by different types of medical insurance have a large gap in the level of inpatient costs,the cost of inpatients covered by Urban Employee Basic Medical Insurance is higher than that of those covered by Urban Resident Basic Medical Insurance,patients covered by New Rural Cooperative Medical System has the lowest costs.The cost of self-pay inpatients is higher than those covered by insurance.Conclusion:It is necessary to strengthen the management of medical services and utilization between doctors and patients,control the factors leading to unreasonable increase of medical expenses such as induced medical treatment and excessive demand,and improve the coverage rate of medical insurance for lung cancer patients.