| 引用本文：宋燕,卞鹰.住院医保患者的医疗费用结构分析[J].中国卫生政策研究,2010,3(12):24-27 |
|
| 住院医保患者的医疗费用结构分析 |
| 投稿时间：2010-09-27 修订日期：2010-11-11 PDF全文浏览 HTML全文浏览 |
| 宋燕1, 卞鹰2 |
| 1.澳门大学中华医药研究院澳门;2.澳门大学中华医药研究院 |
| 摘要:目的：探讨住院医保患者医疗费用的结构变动，找出影响结构变动的主要项目，以实现医疗费用的有效控制。方法：采用结构变动度、结构变动值和结构变动贡献率等指标进行统计分析。结果：2003—2009年医保患者住院费用总额呈逐年上升趋势，且科室分布较集中，费用结构总体变动度为14.55%，检查费和药品费的变动贡献率最大，西药费基本呈负向变动，检查费呈正向变动。结论：医保住院费用科室分布集中，药品费用和检查费用是影响变动的主要因素，反映医护人员技术劳动价值的费用变动不明显或呈负向变动。今后要注重限制医疗设备和器械的过度使用，合理确定医疗技术服务价格，进一步完善医疗保险支付方式和健全医疗机构市场监督机制。 |
| 关键词:医疗保险 医疗费用 结构变动度 住院患者 |
|
| Analysis on the medical expenses structure of inpatients participating in social health insurance |
| SONG Yan1, BIAN Ying2 |
| 1.Institute of Chinese Medical Science, University of Macau;2.Institue of Chinese Medical Science, University of Macau |
| Abstract:Objective: To explore the variation tendency of medical expenses structure of inpatients participating in medical insurance, and find major items which affect variation. Methods: Degree of structure variation (DSV) was used to analyze the structure variation. Results: The total medical expenses were increasing year by year and focused on ten departments. The total DSV was 14.55%. The check expenses and drug expenses had the highest contribution rate of DSV. The check expenses changed in positive direction while drug expenses in negative direction. Conclusions: The check expenses and drug expenses are main items which contribute to expenses structure variation. The medical expenses couldn’t reflect the value of health workers. In the future， we must pay attention to restrict the overuse of the medical devices, determine the price of health service more reasonably as well as deepen the reform of social health insurance. |
| Key words:Health insurance Medical expense Degree of structure variation Inpatients |
| 摘要点击次数: 3622 全文下载次数: 8642 |
|
|
