【摘要】 目的:研究银川市职工生育保险人头包干付费对产科有关指标的影响,探讨其在降低剖宫产率、促进合理检查合理用药作用。方法:将2011年在银川市定点医院产科住院分娩产妇的有关指标,通过与2008-2010间的资料进行对比研究。结果:人头包干付费政策实施后,研究对象的剖宫产率由54.14%下降到35.38%、次均住院费用下降了9.52%、次均药品费用下降了45.24%、平均住院日降低了0.8天;次均医疗服务费用升高了9.39%。结论:人头包干付费模式实施后,对产科剖宫产率、医药费用等指标影响明显。更多还原

【Abstract】 Objective:To study the effects of maternity insurance lump capitation on obstetric index in Yinchuan,discuss its impact on decreasing cesarean section rate and improving reasonable check and rational drug use.Methods:The relevant indexes of inpatient parturient in Yinchuan fixed-point hospitals in 2011 are analyzed by comparing with the data from 2008 to 2010.Results:After the application of capitation lump policy,the cesarean section rate of the research object decrease from 54.14% to 35.38%,average hospitalization expenditure decreased by 9.52%,per drug expenditure decreased to 45.24%,average length of stay decreased by 0.8 day and per medical service cost increased by 9.39%.Conclusion:Since the application of capitation lump mode,the effects on the indexes of cesarean section rate,medical and medicine cost are obvious.更多还原