心脑血管疾病大额住院消费统计分析

通过对医院2004-2006年心脑血管疾病大额住院消费(消费大于50000元,以下简称大额消费)病例发病率高的前五种疾病的构成情况、药费、材料费消耗情况进行分析,认为加强大额病例中发病率高的病种的重点管理,是降低医疗费用的有效途径。建议制定常见病大额病种预定额付费方案和审查报销制度;采用适宜技术;控制药费,防止过度医疗,有效地遏制医疗费用的过快增长。

A statistical Analysis of Large Amount of Hospitalization Expenditure of Inpatients with Cardiocerebrovascular Disease

Objective:To seek effective ways of reducing the medical expenses of inpatients with cardiocerebrovascular disease (CCVD).Methods:3930 inpatients,who was admitted into the hospital because of CCVD from 2004 to 2006,were se- lected.And the patients' large amount of hospitalization expenditure (LAHE)(more than 50,000.00 yuan,hereafter referred to as"LAHE")was statistically analysed.Results:In the patients' large amount of hospitalization expenditure,the medical expenses of inpatients with cardiocerebrovascular disease amounted to 55%,in which,the cost of GAD,acute MI,cerebral hemorrhage,HBP, and cerebral infarction was 51.66%,18.31%,8.11%,5.74%,and 3.92% respectively.Conclusion:To enhance the management of of types of diseases with high morbidity in LAHE is an effective way to reduce medical expenses.It is suggested that methods of payment of predetermined sum of the diseases with LAHE and examination of reimbursement system should be worked out to con- tain the excessive growth of medical expenses.