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目的研究医疗保险病人住院医疗费用的影响因素,以控制医疗成本,降低医疗费用。方法对2005年-2009年出院97797例病人(医疗保险病人17838例)数据进行单因素方差分析和多因素逐步回归分析。结果医保就诊人群由1886例增加到4906例的同时,医保住院费用也由例均13397元上升至16870元;影响住院费用的主要因素,按其对住院费用作用的由大到小,依次为住院日、年龄、手术、收治科室、治疗效果、性别。结论建议制定标准化的规范管理缩减住院日,降低药品耗材费用减少患者就医成本,同时公开透明医疗收费建立监督机制,以促进医疗质量的提高,遏制不合理住院费用产生。
Objective To study the influencing factors of inpatient medical expenses for medical insurance in order to control medical costs and reduce medical expenses. Methods The data of 97,797 patients discharged from the hospital from 2005 to 2009 (17838 cases of medical insurance) were analyzed by one-way ANOVA and multivariate stepwise regression analysis. As a result, the number of medical insurance visits increased from 1886 to 4906, meanwhile, the hospitalization expenses of medical insurance increased from 13397 yuan to 16870 yuan. The main factors influencing the hospitalization expenses were as follows: hospitalization cost Day, age, surgery, treatment department, treatment effect, gender. Conclusions It is suggested to develop a standardized standardized management to reduce the hospitalization days, reduce the cost of medical supplies and reduce the cost of medical treatment for patients, and to open up a transparent monitoring mechanism for medical charges in order to promote the improvement of medical quality and curb the incidence of unreasonable hospitalization expenses.