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目的:分析某县级市新型农村合作医疗患者住院费用结构变化情况,为控制费用提供依据。方法:收集该县级市2010—2013年5月份新型农村合作医疗住院患者费用明细,采用结构变动度分析法分析该县级市住院费用的结构变化情况。结果:专科医院的住院费用结构变动最大,一级医院次之。不同的费用项目在不同级别的医院结构变化方向也并不一致。西药费和检查费是引起住院费用结构变动的主要因素,但是在不同级别的医院,引起不同费用项目的结构变动贡献率并不完全相同。结论:该县级市新版新型农村合作医疗制度实施以来费用控制效果显著,虽然中医药的作用得以凸显,但是仍存在不足,此外检查费的控制是未来新型农村合作医疗控费不可忽视的环节。
Objective: To analyze the change of hospitalization cost structure of new rural cooperative medical patients in a county-level city and provide the basis for controlling costs. Methods: The cost of inpatients of new-type rural cooperative medical care in this county-level city from May 2010 to May 2013 was collected, and the structural change of hospitalization costs in this county-level city was analyzed by structural variance analysis. Results: The cost structure of hospitalization in specialty hospitals fluctuated most, followed by the level one hospitals. Different cost items in different levels of hospital structure change direction is not the same. Western medicine fees and examination fees are the main factors that cause changes in the structure of hospitalization fees. However, in different levels of hospitals, the contribution rates of structural changes caused by different cost items are not exactly the same. Conclusion: The cost control effect of the new version of the new rural cooperative medical system in this county-level city is remarkable. Although the role of Chinese medicine has been highlighted, there are still some deficiencies. In addition, the control of examination fees is a link that can not be neglected in the new rural cooperative medical care in the future.