【摘要】 目的 :了解职工的医疗费用及其自付水平的现状 ,对制定医疗保险制度下的职工自付比例提供重要依据。方法 :现场调查。结果 :不同年龄组的门诊及住院费用皆有显著性差异 (P<0 .0 5 ) ,门诊费用在性别间有显著性差异 (P<0 .0 5 ) ,但住院费用在不同性别间未见显著性差异 (P>0 .0 5 ) ,不同工作状况人群的门诊及住院费用皆有显著性差异 (P<0 .0 5 ) ,不同职业状况人群门诊及住院费用皆未见显著性差异 (P>0 .0 5 ) ,不同文化程度的人群门诊费用有显著性差异(P<0 .0 5 ) ,但住院费用未见显著性差异 (P>0 .0 5 )。实际自付费用方面 ,不同年龄、性别、工作状况、文化程度皆有显著性差异 (P<0 .0 5 ) ,仅有不同职业状况的人群未见显著性差异 (P>0 .0 5 )。实际年自付费用占年人均收入的比例绝大部分不足 1% ,而年能力自付占年人均收入的比例在 5 .2 1%～ 11.92 %之间。结论 :可以提高职工的自付比例标准 ,但要考虑不同工作状况人群间的差异。更多还原

【Abstract】 Objectives To learn situation of employee’s medical expense and the copayment and provide a basis for making certain a copayment under the condition of medical insurance system. Methods Field survey. Results There are significant differences for outpatient expense and inpatient expense among different age groups (P<0.05). There is significant difference for outpatient expense between female and male (P<0.05). However, there is not significant difference for inpatient expense between female and male (P>0.05). There are significant differences for outpatient expense and inpatient expense among patients with different working situation (P<0.05). There are not significant differences for outpatient expense and inpatient expense among patients with different occupations (P>0.05). There are significant differences for outpatient expense and inpatient expense among patients with different education levels (P<0.05). There are significant differences for medical expense at own expense among patients with different ages, sex, working situations and education levels (P<0.05). There is not significant difference only among patients with different occupations (P>0.05). The proportion of actual annual medical expense at own expense accounting for annual average income is less than 1%. However, the proportion of afforded annual medical expense at own expense accounting for annual average income is 5.21% ~ 11.92%. Conclusions The copayment could be raised. At same time, people with different working situation should be considered.更多还原