目的评估手术并发症对医疗患者费用支付能力的影响。方法采用回顾性调查,主要从患者来源,参加医疗保险情况,年龄分布,住院费用四方面进行统计。结果在142个手术并发症患者中,有75%来自农村;无论是农村人口或是市区人口,其参加医疗保险的人数均在半数以下;无支付能力或支付能力不足的人数占其总数的38%;在医疗费用中,药品费占40%,诊疗费占34%,化验费占10%,10000元以上医疗费用的人数占47%,根据1999年东部人均收入标准[1],按照一个标准三口之家的家庭来看,农村家庭只能支付10000元以下的医疗费用,城镇家庭只能支付20000元以下的医疗费用,无论农村家庭或是城镇家庭,基本上无能力支付30000元以上的医疗费用。结论一方面,医院要重视手术并发症的预防和治疗,缩短住院天数,降低药品费、诊疗费和化验费,提高患者的支付能力;另一方面,社会应积极呼吁居民参加医疗保险或合作医疗,进一步加强人群的医疗保障。 Objective To assess the effect of surgical complications on the cost-paying ability of medical patients. Methods A retrospective survey was conducted to collect statistics from four aspects: patient source, participation in medical insurance, age distribution, and hospitalization costs. Results Of the 142 complication patients, 75% were from rural areas; no matter the rural population or the urban population, the number of people participating in the medical insurance was below half; the number of people who did not pay or had insufficient ability to pay was their total. 38%; In the medical expenses, the medical expenses accounted for 40%, the treatment expenses accounted for 34%, the laboratory fee accounted for 10%, the number of medical expenses over 10,000 yuan accounted for 47%, according to 1999 eastern per capita income standards [1], according to a From the standard family of three families, rural families can only pay medical expenses of less than 10,000 yuan, and urban families can only pay medical expenses of less than 20,000 yuan. No matter rural families or urban families, they are basically unable to pay more than 30,000 yuan. Medical expenses. Conclusion On the one hand, hospitals should pay attention to the prevention and treatment of surgical complications, shorten the length of hospital stay, reduce drug costs, diagnosis and treatment fees and laboratory fees, and improve the patient’s ability to pay; on the other hand, the community should actively appeal to residents to participate in medical insurance or cooperative medical treatment. To further strengthen the population’s medical protection.