湖北省新型农村合作医疗试点县县医院住院费用构成分析

目的　通过对各试点县县医院住院费用构成情况进行分析 ,为新型农村合作医疗政策的制定和采取有效的费用控制措施提供依据。方法　采用系统抽样的方法按住院号抽取 8个县医院 2 0 0 2年住院病例共 16 0 5份。结果　住院费用主要集中在 5 0 0～ 2 0 0 0元 ,但 6 89%高额住院病例住院费用占住院总费用的 34 5 3% ,而且药品费用占住院费用比例较高。结论　改善住院费用结构 ,降低药品费用所占比例 ;建立基本药物目录和诊疗规范 ,规范医生的行为 ,抑制住院费用的增长 ;提高高额住院患者的补偿比例 ,降低高额住院患者的疾病经济风险 ,一定程度上减缓农民“因病致贫”和“因病返贫”的发生。

An Analysis on the Composition of the Hospitalization Expenses of the Hubei province new Rural cooperation Medical system Experimental County Hospital

Objective Through the analysis on the composition of the hospitalization expenses to provide evidence for making policy and taking an effectual measure to control the rise of the hospitalization expenses.Methods 1 605 inpatients, who were in hospital in 2002, were collected by systematic sample. Results The hospitalization expenses mostly were 500 to 2 000 Yuan RMB, but the 6.69 % high expenses inpatients had expended 34.53 % total hospitalization expenses and the expenses for medicine had a high proportion of hospitalization expenses. Conclusion Improve the composition of the hospitalization expenses to reduce the expenses for medicine proportion of the hospitalization expense; Establish the essence drug list and diagnosis and treating criterion and rule the behavior of the doctors to relieve the increase of the hospitalization expenses; Improve the compensatory proportion of the high-expend inpatients to reduce their disease economic risk and prevent them getting into poor to some extent.