【摘要】 目的:为临床合理诊疗以及控制医疗费用提供参考。方法:以某区级医院2013-2015年参加新型农村合作医疗保险(以下简称"新农合")出院患者为研究对象,考察可能影响其住院费用的影响因素。结果:"新农合"参保患者的住院费用主要由药费、治疗费、检查化验费、一般医疗服务费和护理费等部分构成,前三项之和约占总费用的95%,其中药费占比最高。影响"新农合"参保患者住院费用的因素依次为:住院时间>手术情况>年龄>年份>性别。结论:控制"新农合"参保患者住院费用过快增长,应严格管理和控制患者总住院时间,降低手术率和药占比,并引导患者及早就医。更多还原

【Abstract】 OBJECTIVE:To provide reference for clinical rational drug use,diagnosis and treatment,controlling medical cost of patients. METHODS:Taking"new rural cooperative medical system"(NRCMS)discharge patients in a district hospital from2013 to 2015 as subjects,the possible influential factors of hospitalization cost were investigated. RESULTS:Hospitalization cost of NRCMS patients mainly included drug cost,treatment cost,examination and test cost,medical service fee and nursing cost,etc. The sum of the former 3 items accounted for 95% of total cost,among which the proportion of drug cost was the highest. The influential factors of hospitalization cost in NRCMS patients were in descending order:hospital stay>operation>age>year>gender. CONCLUSIONS:To avoid the excessive increase of hospitalization cost paid by NRCMS patients,we should get down to work from these aspects such as strictly managing and controlling hospitalization stay,decreasing the rate of operations and the proportion of drug cost,and encouraging patients to see the doctor earlier.更多还原