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目的:分析流动人口住院分娩费用控制的可行性,保证流动人口孕产妇得到基本医疗服务,为政府制定措施提供依据。方法:采用回顾性病历分析研究方法,在北京市城乡结合部5个二级医院,选择2004年1~12月期间孕期检查正常、住院阴道分娩费用≤1 000元的275例产妇为研究组;选择同期孕期检查正常、阴道分娩费用>1 000元的312例产妇为对照组。对2组孕产妇门诊病历、住院病历、费用清单进行分析。结果:研究组与对照组的母婴结局差异没有显著性。研究组主要费用花在必须利用的医疗服务上。对照组费用增加主要是药费、床位费、治疗费。侧切对住院总费用有很大影响。结论:对流动人口孕产妇正常分娩提供基本服务,可以保证母婴健康结局,减少住院费用。过度医疗对分娩费用有很大影响。
PURPOSE: To analyze the feasibility of controlling the cost of hospital delivery in floating population, to ensure that migrant women and mothers receive basic medical services, and to provide basis for the government to formulate measures. Methods: A retrospective case history analysis method was used to study 275 pregnant women who had normal pregnancy tests during pregnancy from January to December 2004 and whose vaginal delivery cost was less than 1,000 yuan in the study. Select the same period of pregnancy check normal, vaginal delivery costs> 1000 yuan of 312 mothers for the control group. The two groups of maternal outpatient medical records, hospital medical records, cost list analysis. Results: There was no significant difference in maternal and infant outcomes between study group and control group. The main cost of the study group is spent on the medical services that must be used. The control group increased the cost of drugs, bed fees, treatment costs. Sidecutting has a significant impact on the total cost of hospitalization. Conclusion: The provision of basic services for the normal delivery of pregnant women and mothers of floating population can ensure the maternal and child health outcomes and reduce hospitalization costs. Excessive medical costs have a significant impact on delivery.