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收集2012年广州市第八人民医院慢性乙肝门诊患者的医疗费用,应用分位数回归模型,比较医保和自费患者的药物使用情况以及对医疗费用的影响,为制定合理的医疗费用配置策略提供科学依据。结果显示,医保和自费患者的抗病毒药物使用率分别为62.54%和43.53%,其中,干扰素对医疗费用的影响最大,其次是核苷酸类似物和抗纤维化药。医保政策可以促进患者进行规范的抗病毒治疗,抗病毒药物使用对患者医疗费用的影响最为显著。
To collect the medical costs of patients with chronic hepatitis B in Guangzhou Eighth People’s Hospital in 2012, and to apply the quantile regression model to compare the medical use of medical insurance and self-pay patients and the impact on medical expenses, so as to provide a scientific basis for formulating reasonable medical expenses allocation strategies in accordance with. The results showed that the use rates of antiviral drugs in patients with Medicare and at their own expense were 62.54% and 43.53%, respectively. Interferon had the most significant impact on medical expenses, followed by nucleotide analogs and anti-fibrosis drugs. Medicare policies can promote patients with standardized antiviral therapy, the use of antiviral drugs on patients with the most significant medical costs.