海口市住院患者医疗费用调查分析

目的：了解海口市住院患者医疗费用的基本情况及其影响因素，为政府制定科学的控费政策或改进现有的控费措施提供依据。方法对10家医院463例住院患者进行问卷调查，并分析调查数据。结果不同性质医疗机构医药费用构成存在差异，综合医院药品费用占医疗总费用的中位数比例为42．13％；30．02％（139／463）患者认为“新技术新药品和新设备”的使用是医疗费用上涨的首要原因，51．19％（237／463）患者看病考虑的首要因素是“治愈”，24．84％（115／463）的患者不知道医保政策变动，46．00％（213／463）认为控制医疗费用上涨的主要责任主体是政府，28．51％（132／463）的患者认为是医院。结论加大医疗保险政策宣传、推进各个环节的控费积极性和合理配置医疗资源有助于降低医疗费用增长。

Survey and analysis on medical expenses of inpatients in Haikou city

Objective To understand the basic situation and the influencing factors of medical expenses of the inpatients in Haikou city for the government to developing a scientific control policy of medical expense or improving the existing measures for controlling the medical expense.Methods Totally 463 inpatients from 10 hospitals were conducted the questionnaire survey and the survey data were analyzed.Results The difference of medical costs constituent existed in different medical institutions and the me-dian of drug costs to the total medical costs in general hospital was 42.13%.30.02% (139/463)of the surveyed inpatients thought that the use of “new techniques,new drugs and new equipments”was the primary cause of medical costs rising.51.19%(237/463) of patients thought that the primary considered factor is “cure”when seeing a doctor.24.84%(115/463)of patients did not known the modification of medical insurance policy.46.00%(213/463)and 28.51%(132/463)of patients thought that the main responsi-bility main body for controlling the medical costs rising is government and hospital respectively.Conclusion Increasing the medical insurance policy advocacy,promoting the reform of medical insurance payment methods,strengthening the dominant position of gov-ernment control medical costs and rationally allocating the medical resources conduce to reduce the medical costs rising.