西北某医院老年性白内障不同付费方式患者费用构成分析

目的:通过对比分析,总结西北某医院老年性白内障自费、医保、新农合三类付费方式患者医疗费用差异及其原因。方法:提取西北地区某医院2010-2012年老年性白内障患者的基本病例信息及住院费用清单,利用EXCEL2007软件和SPSS18.0软件对数据进行统计分析。结果:本院老年性白内障患者人均住院总费用最高为自费患者,其次是医保患者,最低为新农合患者。其中,药品费用差异悬殊是导致三类患者住院总费用差异的最主要原因。结论:不同付费方式对医疗收费行为产生不同影响,医保和新农合政策的制定应兼顾效率与公平。

Analysis on Expenditure of Senile Cataract Inpatients with Different Payment Policies in a Northwest Hospital*

ABSTRACT Objective:To analyze the differences and reasons of senile cataract inpatients'' expenditure of different payment policies: pay by oneself, by urban medical insurance and new rural co-operative medical care.Methods: Extracting summary data of inpatients with primary diagnosis of senile cataract during 2010-2012 from a hospital in northwest of China, and describe the data by statistical indicators, tables and graphs using EXCEL2007 and SPSS18.0.Results: The average expenditure of the patients who pay by themselves was the highest among the three payment types, followed by patients paid by medical insurance, while that of the new rural co-operative medical care patients was the lowest. Discrepancy in medication expenditure was the main reason of such differences. Conclusion:Different payment polices have influenced the choices of medical interventions in different ways for patients with the same primary diagnosis of senile cataract. Medical insurance policy and new rural cooperative medical insurance policy should take into account both of efficiency and fairness.