【摘要】 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。更多还原

【Abstract】 Objective: To analyze the structure changes of New Rural Cooperative Medical System(NCMS) patients’ hospitalization costs in a county-level city, and provide references for controlling hospitalization cost. Methods: Collect the cost details of NCMS patients in May from 2012 to 2013, and analyze the structure changes of hospitalization costs though the analysis method of structure variation degree. Results: Specialized hospital has the largest structure change of hospitalization cost, followed by first-level hospitals.Different cost items at hospital of different levels have a different direction of structure changes. Drug and examination are the major factors posing the changes in structure of hospitalization costs. Conclusion: There are significant results on the cost control since the implementation of new NCMS. Although the role of Chinese medicine to be prominent, there is still insufficient. The control of examination cost is a link which could not be ignored in future.更多还原