新型农村合作医疗病种大病费用及其结构变动度的分析

发布时间：2018-03-29 11:09

  本文选题：新型农村合作医疗　切入点：结构变动度　出处：《中国卫生事业管理》2017年07期

【摘要】：目的:大病住院费用给农户带来了巨大的经济负担,将武汉市下辖9个区,2014~2015年所有大病住院病例分为22类疾病,分析人数、费用的分布和构成比,及其结构变动情况,为疾病的防控和费用的控制提供依据。方法:采用描述性统计分析和结构变动度的分析方法,分析各区各类疾病的人数、费用、构成比和结构变动。结果:若干类疾病的例均费用较高、人数比重较高、总费用占比重较高;各区的各类疾病的人数构成比和费用构成比均有明显差异;各区变动贡献率大的疾病各有不同,总体而言三类疾病贡献率较大,22类疾病中7类负向变动,15类正向变动。结论:对于例均费用高、发病人数多或费用占比高的疾病应予以重视;各区中构成比显著偏高的疾病要进行控制;对于结构变动度较大的疾病,尤其是正向变动的疾病,控制其造成的经济负担。
[Abstract]:Objective: the cost of hospitalization for serious illness brings a huge economic burden to farmers. All the hospitalized cases of major diseases in 9 districts under the jurisdiction of Wuhan City from 2014 to 2015 were divided into 22 types of diseases. The number of patients, the distribution and composition of expenses, and their structural changes were analyzed. Methods: descriptive statistical analysis and structural change analysis were used to analyze the number and cost of various diseases in each district. Results: the average cost of several kinds of diseases was higher, the proportion of people was higher, the proportion of total cost was higher, and the proportion of population and cost of various diseases in different regions were obviously different. In general, the contribution rate of the three diseases is larger than that of the 22 diseases. Conclusion: for the cases, the average cost is high. We should pay attention to the diseases with large number of patients or high proportion of expenses; control the diseases with significant higher constitution ratio in each district; and control the economic burden caused by the diseases with large structural changes, especially those with positive structural changes.
【作者单位】： 武汉市新农合管理服务中心(武汉市医学科学研究所);中国人民解放军火箭军工程大学;华中农业大学信息学院;中国人民财产保险股份有限公司武汉市分公司社会医疗保险服务中心;华中农业大学理学院数学与信息科学系;
【基金】：武汉市卫生计生委科研项目“大病保险在新农合医疗体系中的运行分析和对策研究”(编号:WG16D12)
【分类号】：F323.89;F842.684;R197.1
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本文编号：1680867