湖北省单病种定额付费政策下的初治涂阳肺结核患者医疗费用及构成分析

发布时间：2018-03-08 05:36

本文选题：肺结核　切入点：医疗费用　出处：《公共卫生与预防医学》2016年01期 　论文类型：期刊论文

【摘要】：目的了解单病种定额付费政策下,肺结核患者的直接医疗费用及构成,为完善结核病控制政策、优化资源配置提供依据。方法采用系统抽样方法,在湖北省抽取了实行单病种定额付费政策某市的3个县市区内的共81例全程完成治疗疗程的初治涂阳肺结核病患者进行定量问卷调查,系统收集医疗费用等方面的数据,对患者的住院天数、住院医疗费用构成进行分析。结果肺结核病患门诊医疗费用均数为1 935元,中位数为2 008元,住院医疗费用均数为5 663元,中位数为4 358元,不同地区患者医疗费用差异有统计意义;3个地区县市区医疗费用的报销率平均在70%以上。西药费和诊断费是医疗费用的重要组成部分。结论在目前的筹资和支付水平上,该市的初治涂阳肺结核病患者的西药费和诊断费是医疗费用的重要组成部分。应该通过相应的医保政策来保障该人群的最主要的医疗过程。该市肺结核患者医疗费用水平在全国处于中等水平,且地区差异较大,但整体报销率高于其他地区,大大减轻了患者的医疗负担。
[Abstract]:Objective to understand the direct medical cost and composition of pulmonary tuberculosis patients under the single-disease quota payment policy, and to provide the basis for improving tuberculosis control policy and optimizing the allocation of resources. A total of 81 first-time smear positive pulmonary tuberculosis patients who have completed the whole course of treatment were selected from three counties and cities in Hubei Province to carry out the policy of single disease fixed payment, and the data of medical expenses were collected systematically. Results the average of outpatient medical expenses of pulmonary tuberculosis patients was 1,935 yuan, the median was 2,008 yuan, the average of hospitalization medical expenses was 5,663 yuan, and the median was 4,358 yuan. The average reimbursement rate of medical expenses in three districts and counties is more than 70%. Western medicine fee and diagnostic fee are important components of medical expenses. Conclusion in the current level of financing and payment, the cost of western medicine and diagnosis is an important part of medical expenses. The western medicine fee and diagnostic fee of the first-time smear positive pulmonary tuberculosis patient in the city is an important part of the medical cost. The most important medical process of this group should be guaranteed by the corresponding medical insurance policy. The medical treatment of the tuberculosis patient in the city. The cost level is at a moderate level across the country. But the overall reimbursement rate was higher than that in other regions, which greatly alleviated the medical burden of patients.
【作者单位】：武汉大学公共卫生学院;
【分类号】：R521;R197.3

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