[1]计阿丹),肖倩),马晨东),等.河北省城乡医保居民心血管疾病住院医疗费用构成及影响因素分析*[J].郑州大学学报(医学版),2014,(02):271.
 JI Adan),XIAO Qian),MA Chendong),et al.Hospitalized medical cost constitute of urban and rural insured residents with cardiovascular disease in Hebei province and influencing factors[J].JOURNAL OF ZHENGZHOU UNIVERSITY(MEDICAL SCIENCES),2014,(02):271.
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河北省城乡医保居民心血管疾病住院医疗费用构成及影响因素分析*
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《郑州大学学报(医学版)》[ISSN:1671-6825/CN:41-1340/R]

卷:
期数:
2014年02期
页码:
271
栏目:
应用研究
出版日期:
2014-03-20

文章信息/Info

Title:
Hospitalized medical cost constitute of urban and rural insured residents with cardiovascular disease in Hebei province and influencing factors
作者:
计阿丹1)肖倩1)马晨东2)肖永红1)#
1)河北联合大学公共卫生学院流行病与卫生统计学科 唐山 063000 2)河北体育学院校医院 石家庄 050041
Author(s):
JI Adan1) XIAO Qian1) MA Chendong2) XIAO Yonghong1)
1)Department of Epidemiology and Health Statistics, College of Public Health, Hebei Union University, Tangshan 063000 2)The School Hospital, Hebei Institute of Physical Education,Shijiazhuang 050041
关键词:
城镇居民医疗保险新型农村合作医疗心血管疾病住院医疗费用影响因素河北省
Keywords:
medical insurance for urban residents the new rural cooperative medical carecardiovascular diseasehospitalized medical costinfluencing factorHebei province
分类号:
A
文献标志码:
R197.1
摘要:
目的:分析参加城镇居民医疗保险(简称参保)居民和参加新型农村合作医疗(简称参合)居民心血管疾病住院医疗费用构成,探讨其影响因素,为统筹城乡医疗保障制度提供科学依据。方法:选取2011年1月1日至12月31日河北省某县因患心血管疾病住院的参保和参合居民3 947例为研究对象,采用单因素和多重线性回归法分析住院医疗费用的影响因素。结果:参保患者住院医疗费用[(2 959.10±122.67)元]高于参合患者[(2 140.85±53.50)元](t=6.114,P<0.001)。两类患者的住院医疗费用构成中,排名首位的均是药费。参保和参合居民心血管疾病住院医疗费用的共同影响因素有住院时间、入院情况、有无手术和医院级别(标准化的回归系数:参保居民分别为0.204、0.405、0.070和0.163,参合居民分别为0.028、0.082、0.047和0.039)。结论:根据发病程度选择合理的药物治疗,严格掌握手术适应证,减少住院时间,可降低参保和参合居民心血管疾病住院医疗费用。
Abstract:
Aim: To analyze the hospitalized medical cost constitute of urban and rural insured residents with cardiovascular disease, and explore influencing factors, so as to provide scientific basis for urban and rural medical security system as a whole. Methods: A total of 3 947 hospitalized patients with cardiovascular disease in the medical insurance for urban residents and the new rural cooperative medical care insured residents were selected in a county of Hebei from January 1, 2011 to December 31, 2011. Influencing factors of hospitalized medical cost were analyzed with univariate analysis and multivariate regression analysis. Results: The average hospitalized medical cost for the urban residents [(2 959.10±122.67) yuan] was significantly higher than that for rural residents [(2 140.85±53.50) yuan](t=6.114,P<0.001). In constitute of the hospitalized medical cost, drug cost was ranked first. Hospitalization time, hospitalization status, surgery and hospital level were the common influencing factors, which affected the hospitalized medical cost of urban and rural insured residents(standardized β was 0.204,0.405,0.070 and 0.163 for the urban residents and 0.028,0.082,0.047 and 0.039 for the rural residents). Conclusion: Drug therapy should be chosen reasonably according to the degree of cardiovascular disease, and the surgical indications should be commanded strictly to reduce the hospitalization time, so as to reduce the hospitalized cost.

参考文献/References:

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备注/Memo

备注/Memo:
*河北省社会科学基金项目HB13SH027;2012年河北省社会科学发展研究课题 #通讯作者,女,1967年1月生,博士,教授,研究方向:流行病与卫生统计,Email:kycxyh@tom.com
更新日期/Last Update: 2014-04-23