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目的:分类比较医疗保险住院病例的住院费用,分析影响医保住院费用的因素,探讨解决医保定额与医疗行为的矛盾。方法:收集某医院2009年的城镇医保所有住院病例,共876例,对于可能的影响因素采用向后回归法进行统计分析。结果:在职与退休、疾病科室分类、是否手术、住院天数、自费比例、药费等,是医保患者住院费用的影响因素。结论:医保定额应按影响因素制定,医院也可通过提高医疗质量减少住院费用。
OBJECTIVE: To classify and compare the hospitalization expenses of medical insurance inpatient cases, to analyze the factors that affect the hospitalization expenses of medical insurance and to explore the contradiction between the fixed medical insurance and the medical behaviors. Methods: A total of 876 hospitalized cases of urban medical insurance in a hospital in 2009 were collected, and the statistical analysis of the possible influencing factors was made by back-regression method. Results: In-service and retirement, classification of disease departments, whether surgery, hospital days, the proportion of self-pay, medical expenses, etc., is the impact of hospitalization costs Medicare patients. Conclusion: The medical insurance quota should be made according to the influencing factors. The hospital can also reduce the hospitalization cost by improving the medical quality.