【摘要】 控制医药费用不合理增长是城镇医疗保障制度改革的目标之一。该文采用病历回顾的方法 ,选取急性阑尾炎和住院分娩两种健康状况作为指示病例 ,分析了不同医疗保险改革模式与医药费用变化的关系。基本结论是 ,医疗保障制度改革与医药费用控制关系密切 ,医疗保障制度是影响医药费用水平的主要因素 ,在尚未完全建立新型的医疗保险模式的地区 ,两个病种的医药费用攀升速度较快 ,费用上升速度总体上是实施新型医疗保险比较成熟地区的一倍多。医疗保障制度改革方案的合理设计和有效实施对于控制医药费用过快增长意义重大更多还原

【Abstract】 One of the principal aims reforming China’s urban health insurance systems is to control escalation of medical costs. This paper reports a study that intended to examine associations between changes in health insurance plans and changes in medical expenses. Tracer condition study with two medical conditions, appendicitis and birth delivery, was used in six hospitals of two cities. The major findings include design and implementation of urban health insurance plans influence level of expenses from those two medical cases, growth of medical costs in one city with traditional health insurance scheme was much more rapid than that in another city with newly-designed health insurance plan. The reform package currently initiated by the central government would have positive effect on cost containment in hospital sector.更多还原