《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]
卷:
第25卷
期数:
2018年01期
页码:
21-23
栏目:
医疗质量
出版日期:
2018-01-28
- 作者:
-
张晗 张红霞 靳斌 宋宁
-
首都医科大学附属北京天坛医院
- 关键词:
-
总额预付; 门诊费用; 医疗保险
- Keywords:
-
Total Prepayment; Outpatient Expenses; Medical Insurance
- DOI:
-
10.13912/j.cnki.chqm.2018.25.1.08
- 摘要:
-
目的对比分析总额预付制实施前后门诊医保患者次均费用的变化情况，评价总额预付制的实施效果，寻找存在的问题。方法选取实施前后门诊次均费用、门诊药品次均费用、门诊材料次均费用和门诊检查次均费用等数据，采用t检验等统计方法进行分析。结果总额预付制实施后门诊医保患者次均费用比实施前下降23.15%，具有统计学意义（P<0.05），其他各项费用均有所降低。结论总额预付制作为目前控制医疗费用快速增长的方式之一，可以促进医疗资源的合理配置，避免了医保基金的不合理支出，值得推广和借鉴。
- Abstract:
-
ObjectiveTo analyze the changes of outpatient medical expenses before and after the implementation of total prepayment system, evaluate the implementation effect of total prepayment system, and discuss the achievements and problems.MethodsThe cost of outpatient service, pharmacy expense and material cost, outpatient examination cost data were used for comparison by t-test and other statistical methods. ResultsAfter the implementation of the total prepaid system, the subtotal cost among insured outpatients decreased 23.15% lower than that before the implementation (P<0.05), and all other expenses decreased. Conclusion As one of the way to control the rapid growth of medical expenses, the total prepaid system can promote the reasonable allocation of medical resources, avoid the unreasonable expenditure of medical insurance fund, which is worth popularizing widely.
更新日期/Last Update:
2018-01-28
