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医疗保险与非医疗保险住院病例医疗费用的比较分析
引用本文:张音,廖晓斌,刘辉,上官静,谢文新.医疗保险与非医疗保险住院病例医疗费用的比较分析[J].中国医院统计,2003,10(1):7-9.
作者姓名:张音  廖晓斌  刘辉  上官静  谢文新
作者单位:650032,成都军区昆明总医院经济管理科,云南省昆明市
摘    要:目的:对医疗保险与非医疗保险住院病例医疗费用进行比较,分析医保病例的费用特点及相适应的费用控制方法。方法:分析病人住院信息数据,对医保病人的社会学特征、病情特征及费用特征进行统计描述,同时对相同病种病情条件下的医保病例和非医保病例进行了配对费用比较分析。结果:医保病人费用较高,但与其病种病情有关。结论:控制医保病人的医疗费用,特别是药费,是医院占有医保市场的有效手段。

关 键 词:医疗保险  非医疗保险  医疗费用  对比分析
文章编号:1006-5253(2003)01-0007-03
修稿时间:2002年7月15日

Comparative Analysis of Medical Expense of In-Patient with Medical Insurance and with Non-Medical Insurance
Zhang Yin,Liao Xiaobin,Liu Hui,et al..Comparative Analysis of Medical Expense of In-Patient with Medical Insurance and with Non-Medical Insurance[J].Chinese Journal of Hospital Statistics,2003,10(1):7-9.
Authors:Zhang Yin  Liao Xiaobin  Liu Hui  
Institution:Zhang Yin,Liao Xiaobin,Liu Hui,et al. Kunming General Hospital of Chengdu Military Area. Kunming,650032
Abstract:Objective To analyze the character of medical expense of the cases with medical insurance and seek for a right controlling measure on the basis of comparing the medical expense of the cases with medical insurance and with non-medical insurance. Methods To analyze the data of in-patient and describe their statistical characters in society, disease and expense. And to conduct paired comparative analysis of expense of the cases with medical insurance and with non-medical insurance in the same condition. Results Medical expense of the cases with medical insurance is higher, but it correlates to the cases characters in disease and severity. Conclusion It is an effective method in occupying the medical insurance market for hospital to control the medical expense, especially the drug expense of the patient with medical insurance.
Keywords:Medical insurance  Patient  Expense
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