医保住院病人自付比例分析

目的:分析医保住院病人的自付比例及其影响因素.方法:收集广州市112家医院70 792例医保住院病人的住院费用及有关信息.结果:不同级别医院医保病人个人自付比例存在差异;在职职工住院费用中的自付比例偏高,自付比例平均为50.99%(中位数为57.10%);自付比例与平均住院费用之间的秩相关系数为-0.73(P＜0.01),随着自付比例的增加,其相应的次均住院费用总体上呈下降趋势.结论:必须加强费用控制,减轻在职职工医保住院病人的自付比例;自付比例受多方面因素的影响,必须辩证看待;使用自付比例的中位数能较好反应真实水平.

Analysis on the Percentage of Paticipation of Inpatient Expenditure

Objective To analyze the percentag of paticipation of inpatient expenditure and its impact factors. Methods The inpatient expenditure and relative information of 70 792 case insured patients from 112 hospitals in Guangzhou City were collected. Results There were statistically significant difference in the percentage of paticipation of inpatient expenditure among different hospitals. The percentage of paticipation for in-service employees was on the high side, average proportion is 50.99% (median =57. 10% ) .The Spearman correlation coefficient between the percentage of paticipation and average inpatient expenditure is -0. 73 (P<0. 01) . Conclusion It should be strengthen the cost control in order reduce disease economic burden of insured inpatients. Since the percentage of patcipation was affected by many other factors, it should be look on with analysing and differentiating. The median is much better to reflcet the true level of impatient' s burden.