中国医疗保险
中國醫療保險
중국의료보험
CHINA HEALTH INSURANCE
2014年
1期
44-47
,共4页
重特大疾病保障%病种分类%疾病负担
重特大疾病保障%病種分類%疾病負擔
중특대질병보장%병충분류%질병부담
catastrophic disease insurance%disease classification%financial burden of disease
本文采取实证分析方法，利用安阳市城镇居民基本医保2008-2012年共计167320人次患者的住院数据，筛选重特大疾病病种，在此基础上对重特大疾病住院费用及个人负担状况进行定量分析。结果表明：50种重特大疾病产生的医疗费用占全部885种疾病的60%，个人经济负担接近居民消费性支出的40%，是发生灾难性医疗支出的主要因素。因此，重特大疾病保障应优先选择这50种疾病，同时扩大单病种付费范围，促进基金合理使用。
本文採取實證分析方法，利用安暘市城鎮居民基本醫保2008-2012年共計167320人次患者的住院數據，篩選重特大疾病病種，在此基礎上對重特大疾病住院費用及箇人負擔狀況進行定量分析。結果錶明：50種重特大疾病產生的醫療費用佔全部885種疾病的60%，箇人經濟負擔接近居民消費性支齣的40%，是髮生災難性醫療支齣的主要因素。因此，重特大疾病保障應優先選擇這50種疾病，同時擴大單病種付費範圍，促進基金閤理使用。
본문채취실증분석방법，이용안양시성진거민기본의보2008-2012년공계167320인차환자적주원수거，사선중특대질병병충，재차기출상대중특대질병주원비용급개인부담상황진행정량분석。결과표명：50충중특대질병산생적의료비용점전부885충질병적60%，개인경제부담접근거민소비성지출적40%，시발생재난성의료지출적주요인소。인차，중특대질병보장응우선선택저50충질병，동시확대단병충부비범위，촉진기금합리사용。
Empirical analysis is applied in this paper to quantitatively analyze the hospitalization expenses and its financial burden of catastrophic diseases based on the medical records of 167,320 inpatients during 2008 to 2012, which were collected from the information system of social insurance agencies in Anyang. The results show that:there were 50 kinds of catastrophic diseases in the list of main cause of medical expenses, which accounted for 60%of all (885 kind of diseases) medical expenses. The individuals’ financial burden of these diseases accounted for nearly 40%of consumption expenditure in urban residents. Therefore, these diseases should be the priority to be insured. Meanwhile, the scope of DRGs could be expanded to improve the rational utilization of catastrophic disease insurance funds.
