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目的:探讨高血压病住院医保患者医疗费用增长情况,为建立合理的医疗费用控制机制提供依据。方法:对乌鲁木齐市某所三级综合型医院2003年1月~2007年9月收治的1092例高血压住院医保病例的住院天数、住院费用以及个人支付和统筹支付费用情况进行分析。结果:5年来次均住院天数的平均增长速度为2.86%,次均住院费用的平均增长速度为6.45%,次均床位费用、药品费用、检查费用、诊疗费用的平均增长速度分别为5.22%、-3.92%、11.18%、25.41%,个人支付费用占住院总费用的比例由2003年的54.21%下降至2007年的38.01%,降幅明显。结论:控制药费、检查费用和诊疗费用等费用增长点,继续发挥城镇职工基本医疗保险的作用,倡导慢性疾病的管理以及发挥社区医疗服务机构的功能是控制医疗费用增长的有效途径。
OBJECTIVE: To investigate the medical expense increase of hospitalized patients with hypertension in hospital and provide the basis for establishing a reasonable medical expense control mechanism. Methods: The length of hospitalization, hospitalization, individual payment and co-ordinate payment of 1092 cases of hypertension hospitalized health care cases admitted to a tertiary general hospital in Urumqi from January 2003 to September 2007 were analyzed. Results: The average growth rate of average length of hospital stay was 2.86% in 5 years and the average growth rate of per capita hospitalization expenses was 6.45%. The average growth rate of per bed, drug expenses, examination expenses and medical expenses were 5.22% -3.92%, 11.18% and 25.41% respectively. The proportion of individual payment expenses in the total cost of hospitalization decreased from 54.21% in 2003 to 38.01% in 2007, a marked decline. Conclusion: It is an effective way to control the growth of medical expenses by controlling the growth of expenses such as medicine fees, examination fees and medical expenses, continuing to play the role of basic medical insurance for urban workers, advocating the management of chronic diseases and giving play to the functions of community medical service institutions.