中国卫生经济
中國衛生經濟
중국위생경제
CHINESE HEALTH ECONOMICS
2013年
9期
47-49
,共3页
生育保险%人头包干付费%产科%指标
生育保險%人頭包榦付費%產科%指標
생육보험%인두포간부비%산과%지표
maternity insurance%lump capitation%obstetrics%index
目的：研究银川市职工生育保险人头包干付费对产科有关指标的影响，探讨其在降低剖宫产率、促进合理检查合理用药作用。方法：将2011年在银川市定点医院产科住院分娩产妇的有关指标，通过与2008-2010间的资料进行对比研究。结果：人头包干付费政策实施后，研究对象的剖宫产率由54.14%下降到35.38%、次均住院费用下降了9.52%、次均药品费用下降了45.24%、平均住院日降低了0.8天；次均医疗服务费用升高了9.39%。结论：人头包干付费模式实施后，对产科剖宫产率、医药费用等指标影响明显。
目的：研究銀川市職工生育保險人頭包榦付費對產科有關指標的影響，探討其在降低剖宮產率、促進閤理檢查閤理用藥作用。方法：將2011年在銀川市定點醫院產科住院分娩產婦的有關指標，通過與2008-2010間的資料進行對比研究。結果：人頭包榦付費政策實施後，研究對象的剖宮產率由54.14%下降到35.38%、次均住院費用下降瞭9.52%、次均藥品費用下降瞭45.24%、平均住院日降低瞭0.8天；次均醫療服務費用升高瞭9.39%。結論：人頭包榦付費模式實施後，對產科剖宮產率、醫藥費用等指標影響明顯。
목적：연구은천시직공생육보험인두포간부비대산과유관지표적영향，탐토기재강저부궁산솔、촉진합리검사합리용약작용。방법：장2011년재은천시정점의원산과주원분면산부적유관지표，통과여2008-2010간적자료진행대비연구。결과：인두포간부비정책실시후，연구대상적부궁산솔유54.14%하강도35.38%、차균주원비용하강료9.52%、차균약품비용하강료45.24%、평균주원일강저료0.8천；차균의료복무비용승고료9.39%。결론：인두포간부비모식실시후，대산과부궁산솔、의약비용등지표영향명현。
Objective: To study the effects of maternity insurance lump capitation on obstetric index in Yinchuan , discuss its impact on decreasing cesarean section rate and improving reasonable check and rational drug use. Methods: The relevant indexes of inpatient parturient in Yinchuan fixed-point hospitals in 2011 are analyzed by comparing with the data from 2008 to 2010. Results:After the application of capitation lump policy, the cesarean section rate of the research object decrease from 54.14% to 35.38%, average hospitalization expenditure decreased by 9.52%, per drug expenditure decreased to 45.24%, average length of stay decreased by 0.8 day and per medical service cost increased by 9.39%. Conclusion: Since the application of capitation lump mode, the effects on the indexes of cesarean section rate, medical and medicine cost are obvious.
