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目的通过对产妇住院分娩费用相关数据的分析,了解年度间分娩费用变化情况及影响因素,并对有效控制费用的增长提出建议。方法利用卫生计生委组织实施的2014年家庭发展追踪调查数据,根据妇女年龄、分娩方式、城乡、医疗保险情况等对住院分娩医疗总支出及医保报销情况等进行单因素和多因素分析。结果我国妇女分娩的费用的绝对支出在增加,从2008年的2 887元上升到2014年的3 964元,但按照可比价格计算则呈现降低的趋势,说明分娩费用实际支出在下降。分娩方式有较大的影响,医疗保险的补偿率从2008年的24.6%上升到2013年的29.3%,但是总体比例仍处于较低水平,为26.8%。结论降低剖宫产率能够显著减少产妇的医疗费用,并需要适当提高保险的报销比例,减轻群众的医疗负担。
Objective To analyze the data about maternity delivery costs in maternity and to understand the changes of delivery costs and the influencing factors in the year and to make suggestions on the growth of effective control costs. Methods According to the 2014 Family Development Tracking Survey conducted by the Health and Family Planning Commission, single factor and multivariate analysis were conducted on the total medical expenditure on hospital delivery and reimbursement of medical insurance according to the age of women, modes of delivery, urban and rural areas, and medical insurance. As a result, the absolute expenditure on the cost of childbirth in China has been on the rise, from 2 887 yuan in 2008 to 3 964 yuan in 2014, but at a comparable price it shows a downward trend, indicating that the actual expenditure on childbirth costs is declining. The mode of delivery has a greater impact. The compensation rate for medical insurance has risen from 24.6% in 2008 to 29.3% in 2013, but the overall proportion is still at a low level of 26.8%. Conclusions Reducing the rate of cesarean section can significantly reduce maternal medical costs, and need to appropriately raise the insurance reimbursement ratio and reduce the medical burden on the masses.