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就医经济风险比较指标的探索

The Study of Indexes to Compare Economical Risk of Hospitalization

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【作者】 罗力姜晓朋章滨云李鹏翔丁晓沧信亚东吴延风郝模尹爱田王志锋孙邦贵袁小平

【Author】 Luo Li, Jiang Xiaopeng,Zhang Binyun Department of Health Services Management,Shanghai Medical University, Shanghai 200032

【机构】 上海医科大学山东潍坊医学院江苏省盱胎县卫生局江西省崇仁县卫生局 200032200032261000211700340200

【摘要】 就医经济风险确定时至少要考虑3方面的因素:①发生疾病;②因疾病发生就医费用;③因就医费用蒙受经济损失。进行就医经济风险比较时还必须考虑收入因素的影响。据此,借用流行病学相对危险度概念提出了不同人群就医经济风险比较指标(相对风险度RR)计算方法及其校正公式。经实际数据模拟论证,RR及其校正公式可有效比较不同人群就医经济风险,而且简便易行,有助于医保方案的选择。

【Abstract】 Arguing with the constitution of economical risk of hospitalization,This paper emphasized on the indexes which should be effective in comparing economical risk of hospitalization. The study showed that three factors should be concerned as following when evaluating economical risk of hospitalization: diseases existing,fee for health service and economical loss for fee. The study also showed that the factor of income must be concerned when comparing economical risk of hospitalization in different crowds. Referring to the concept of relative risk in epidemics, the index called RR has been advanced to compare the economical risk of hospitalization in different crowds. Proved by the simulating of substantial evidences, the RR and its adjusting formula could be considered to the optima index to comparing economical risk of hospitalization in different crowds both effectively and easily,and should greatly contribute to the selection of medical insurance schemse.

【关键词】 经济风险就医相对风险度
【Key words】 economical riskhospitalizationRR
【基金】 国家自然科学基金
  • 【文献出处】 中国初级卫生保健 ,Chinese Primary Health Care , 编辑部邮箱 ,2000年02期
  • 【分类号】F842.684
  • 【被引频次】28
  • 【下载频次】238
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