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目的:分析住院费用的构成,为控制不合理医疗费用提供有效依据。方法:比较脑梗死医保与非医保患者的医疗费用构成;对医生、患者、医保管理人员三类人群进行访谈,通过访谈的结果与定量数据资料相结合,分析费用影响因素。结果:医保患者的人均费用高于非医保患者,医保人均费用逐年上涨。从住院费用的构成分析,药费和检查检验费是主要的医疗费用支出。结论:医保患者住院费用存在着过度治疗的现象,可以通过改变费用支付方式和加强管理等方法进行控制。
Objective: To analyze the composition of hospitalization expenses and provide an effective basis for controlling unreasonable medical expenses. Methods: To compare the composition of medical expenses between Medicare and non-Medicare patients with cerebral infarction; to interview the three groups of doctors, patients and Medicare managers; and to analyze the influencing factors of costs through the interviews and quantitative data. Results: The per capita cost of Medicare patients was higher than that of non-Medicare patients, and the per capita cost of Medicare increased year by year. From the analysis of the composition of hospital expenses, medical expenses and inspection fees are the main medical expenses. Conclusion: There is over-treatment in the hospitalization expenses of Medicare patients, which can be controlled by changing the method of payment of expenses and strengthening management.