2012—2014年北京市新型农村合作医疗住院疾病构成及费用研究

Study on Disease Composition and Cost of Inpatients under New Rural Cooperation Medical System in Beijing from 2012 to 2014

目的:通过北京市新型农村合作医疗住院患者疾病构成及其费用分析,为调整新型农村合作医疗住院补偿政策提供数据支持。方法:采集2012—2014年北京市新型农村合作医疗住院患者相关数据,以国际疾病分类(ICD-10)北京临床版为标准进行疾病分类,对新型农村合作医疗住院患者疾病构成及其费用进行分析。结果:2012—2014年,北京市新型农村合作医疗住院患者总计达到505 004人次,相比于2012年的157 113人次,2014年达到177 433人次,上升了12.93%。其中,循环系统疾病和呼吸系统疾病等前10种系统疾病住院人次数为450 658人次,占总住院人次数的89.24%。在住院疾病谱中,脑血管疾病、心脏病、恶性肿瘤、胆囊、胆道和胰腺疾患等10余种疾病的住院人次数排在前列,其住院时间长,花费高。结论:北京市新型农村合作医疗住院患者的疾病构成中,脑血管疾病和心脏病以及恶性肿瘤是威胁农民健康的三种主要的疾病,并且其住院费用高,这对新型农村合作医疗住院基金带来了一定压力,基层医疗卫生机构要发挥作用,对这些疾病要早筛查,早预防。

Objective:The data support was provided for adjusting New Rural Cooperative Medical System(NCMS) hospitalization compensation policy through analyzing NCMS disease composition and cost of inpatients in Beijing.Methods:The related data of inpatients supported by NCMS in Beijing from 2012 to 2014 were collected.According to ICD-10 for Beijing clinical version,the classification of diseases was conducted to analyze the disease composition and costs of NCMS patients.Results:From 2012 to 2014,the personnel time of inpatients supported by NCMS in Beijing was 505 004,while the number was 157 113 in 2012,177 433 in 2014,which increased by 12.93%.The personnel time of inpatient with the top 10 kinds of diseases,including circulatory diseases and respiratory diseases,was 450 658,accounting for 89.24%.As for spectrum of disease,the personnel time of inpatients with top 10 kinds of diseases,including cerebrovascular disease,heart disease,malignant tumor,gallbladder,biliary tract and pancreas,were ranked with long-hospitalization length and high costs.Conclusion:Cerebrovascular disease,heart disease and malignant tumor were the main threats to the health of famers,and the high expenditure brought certain pressure to NCMS hospitalization fund.The basic medical and health institutions should play their roles in screening and preventing these diseases.