CAJ | 학술논문

目的：分析不同医疗保险脑出血患者住院费用，探索影响医疗费用的因素，为合理控制医疗费用增长提供参考。方法：收集2008-2012年间收治的脑出血患者住院病例信息，对住院费用进行分析。结果：费用中药品费比例高达42%，铁路企业的医保病人平均费用、平均药费、日均费用、检查费用最高，自费病人平均费用、日均费用和平均药费、检查费均低。住院费用主要影响因素有住院天数、年龄、保险方式、转归情况。结论：不同医保患者的住院费用差别很大。控制医疗费用的不合理增长，应加强对不同医疗保险住院医疗费用的管理，控制平均住院日、药占比、检查费用。
목적：분석불동의료보험뇌출혈환자주원비용，탐색영향의료비용적인소，위합리공제의료비용증장제공삼고。방법：수집2008-2012년간수치적뇌출혈환자주원병례신식，대주원비용진행분석。결과：비용중약품비비례고체42%，철로기업적의보병인평균비용、평균약비、일균비용、검사비용최고，자비병인평균비용、일균비용화평균약비、검사비균저。주원비용주요영향인소유주원천수、년령、보험방식、전귀정황。결론：불동의보환자적주원비용차별흔대。공제의료비용적불합리증장，응가강대불동의료보험주원의료비용적관리，공제평균주원일、약점비、검사비용。
Objective:To compare the hospitalization expenses of patients with hematencephalon under different medical insurance and to explore the influential factor for controlling the increase of medical expense. Method: The case information of cerebral hemorrhage in our hospital during January 2008 to December 2012 was collected. The hospitalization expenses were analyzed by data description, one-way ANOVA and multi-factor linear regression. Results:Drug expenditure accounted for the highest proportion (42%) of hospitalization costs. The total average costs, daily average costs, average medicine costs and medical examination costs were the highest among railway workers, with the amount of 42811.6, 17867.36, 1279.71, and 14720.39 yuan RMB, respectively. While the corresponding expense at patients’ own expenses were the lowest. The major factors affecting the hospitalization expenses were the admission days, age, type of insurance and the treatment outcome. Conclusion:The hospitalization expenses of patients varied a lot under different medical insurance. To control the unreasonable increases of the hospitalization costs, the expense of hospitalization by different medical insurance must be supervised, and the admission days, the ratio of drug expense and medical examination should be under reasonable management.