中国卫生经济
中國衛生經濟
중국위생경제
CHINESE HEALTH ECONOMICS
2013年
11期
27-29
,共3页
医疗保险%住院费用%脑梗死
醫療保險%住院費用%腦梗死
의료보험%주원비용%뇌경사
medical insurance%hospitalization expense%cerebral infarction
目的：分析住院费用的构成，为控制不合理医疗费用提供有效依据。方法：比较脑梗死医保与非医保患者的医疗费用构成；对医生、患者、医保管理人员三类人群进行访谈，通过访谈的结果与定量数据资料相结合，分析费用影响因素。结果：医保患者的人均费用高于非医保患者，医保人均费用逐年上涨。从住院费用的构成分析，药费和检查检验费是主要的医疗费用支出。结论：医保患者住院费用存在着过度治疗的现象，可以通过改变费用支付方式和加强管理等方法进行控制。
目的：分析住院費用的構成，為控製不閤理醫療費用提供有效依據。方法：比較腦梗死醫保與非醫保患者的醫療費用構成；對醫生、患者、醫保管理人員三類人群進行訪談，通過訪談的結果與定量數據資料相結閤，分析費用影響因素。結果：醫保患者的人均費用高于非醫保患者，醫保人均費用逐年上漲。從住院費用的構成分析，藥費和檢查檢驗費是主要的醫療費用支齣。結論：醫保患者住院費用存在著過度治療的現象，可以通過改變費用支付方式和加彊管理等方法進行控製。
목적：분석주원비용적구성，위공제불합리의료비용제공유효의거。방법：비교뇌경사의보여비의보환자적의료비용구성；대의생、환자、의보관리인원삼류인군진행방담，통과방담적결과여정량수거자료상결합，분석비용영향인소。결과：의보환자적인균비용고우비의보환자，의보인균비용축년상창。종주원비용적구성분석，약비화검사검험비시주요적의료비용지출。결론：의보환자주원비용존재착과도치료적현상，가이통과개변비용지부방식화가강관리등방법진행공제。
Objective: To analyze the constitution of hospitalization expenses and provide evidence for controlling unreasonable increase of medical costs. Methods: To compare the medical expense constitution of cerebral infarction patients with and without medical insurance; interview the doctors, patients and the medical insurance managers of medical insurance, analyze the influencing factors of the expense through combining the result of interview and quantitative data. Results: The patients with medical insurance spent higher expense than their counterparts, the per capita cost of medical insurance increase by year. Through analyzing the constitution of hospitalization cost, medicine fee and examination cost are the major medical costs. Conclusion: The costs of patients with medical insurance have over-treatment problem, which could be controlled by changing payment method and strengthening management.
