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目的:探讨参加新型农村合作医疗的住院患者医疗费用的主要支配因子,为控制住院医疗费用的过度增长提供科学依据。方法:某3所县级医院2008年就诊的参加新型农村合作医疗6 475人为样本,采用因子分析的方法对出院病人的各项医疗费用进行分析。结果:床位治疗西药因子、手术检查因子、护理因子和中药因子是支配病人住院费用的4个公因子。结论:控制医疗费用的过度增长,应着力降低药费和治疗费,加强对参加新型合作医疗的农民医疗补偿比例。
OBJECTIVE: To explore the main controlling factors of inpatients’ medical expenses participating in the new rural cooperative medical care and to provide a scientific basis for controlling excessive growth of inpatient medical expenses. Methods: A total of 6 475 people participating in the new rural cooperative medical care visited by a county-level hospital in 2008 were analyzed by factor analysis method. Results: Beds for western medicine, surgical examination, nursing and traditional Chinese medicine were the four common factors governing hospitalization expenses. Conclusion: To control the excessive growth of medical expenses, efforts should be made to reduce the fees for medical treatment and treatment, and to increase the proportion of farmers who participate in the new cooperative medical care.