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目的:研究医保单病种费用和住院日在医疗措施不同情况下的影响。方法:通过对西安市基本医疗保险目录中1个按病种付费的单病种(分娩)住院日和住院费用的分析,探讨了诊疗措施对医保患者住院费用的影响。结果:分娩采用剖宫产比例过高是影响住院费用和住院日的主要因素。结论:医院在控制医疗费用方面需要继续挖掘潜力,优化诊疗方案,避免过度医疗。
OBJECTIVE: To study the impact of the cost of medical insurance and hospitalization days under different circumstances of medical treatment. Methods: By analyzing the hospitalization days and hospitalization expenses of 1 disease-specific single disease (delivery) in Xi’an basic medical insurance catalog, the impact of diagnosis and treatment measures on the hospitalization expenses of medical insurance patients was discussed. Results: The high proportion of cesarean delivery in delivery was the main factor affecting hospitalization costs and hospitalization days. Conclusion: Hospitals need to continue to tap potential in controlling medical costs, optimize treatment options and avoid over-care.