文章摘要
杨 倩,丁 宏,孟娜娜,谢婷婷,余海燕.安徽省六县胃癌患者住院直接医药费用及补偿水平分析[J].南京医科大学学报(社会科学版),2019,(2):143~146
安徽省六县胃癌患者住院直接医药费用及补偿水平分析
Analysis of the direct medical expenses and compensation of inpatients with gastric cancer in six counties of Anhui Province
投稿时间:2018-10-31  
DOI:10.7655/NYDXBSS20190214
中文关键词: 胃癌  直接经济负担  贫困人口  安徽省
英文关键词: gastric cancer  direct economic burden  poor  Anhui Province
基金项目:安徽省高校人文社会科学研究项目“精准扶贫视角下安徽省贫困人群医保制度安排研究”(SK2018A0165)
作者单位
杨 倩 安徽医科大学卫生管理学院安徽 合肥 230032 
丁 宏 安徽医科大学卫生管理学院安徽 合肥 230032 
孟娜娜 安徽医科大学卫生管理学院安徽 合肥 230032 
谢婷婷 安徽医科大学卫生管理学院安徽 合肥 230032 
余海燕 安徽医科大学卫生管理学院安徽 合肥 230032 
摘要点击次数: 36
全文下载次数: 46
中文摘要:
      基于新农合省级信息系统平台,抽取安徽省6个县2017年1月1日—6月30日新农合参保居民全部胃癌住院患者费用明细,统计描述直接医药费用水平、费用结构及补偿水平,评估胃癌的直接经济负担水平,为优化资源配置和制定适宜的病种付费机制提供依据。结果显示:①新农合参合居民胃癌半年住院率0.04%,住院费用占参合居民住院总费用的1.42%。②县级和省级住院人次分别占胃癌总住院人次的46.90%和41.56%。③胃癌次均住院费用11 294.31元,住院层次越高,次均住院费用越高。④药品和材料费分别占胃癌住院总费用的17.29%和22.97%,住院层次越高,药品费占比越低。⑤胃癌住院实际补偿比63.81%,贫困人口实际补偿比(91.24%)高于普通人口(60.03%)。加强县级医疗机构胃癌住院服务能力,建立有效的逐级转诊机制,有助于降低胃癌的直接经济负担水平。
英文摘要:
      To assess the level of direct economic burden of gastric cancer and provide basis for optimizing the allocation of resources and formulating the appropriate payment mechanism for diseases. We collected the details of direct medical expenses for all patients with gastric cancer from January 1 to June 30, 2017 in the six counties based on the new rural cooperative provincial information system platform, and described the level of direct medical expenses, cost structure and compensation level.①Hospitalization rate of patients with gastric cancer was 0.04%and hospitalization expenses accounted for 1.42% of the total cost of hospitalization for participant.②The number of hospitalizations in county?level and provincial?level medical hospitals accounted for 46.90% and 41.56%, respectively.③The average cost of hospitalization for gastric cancer per patients was 11294.31 yuan. The higher the hospitalization level, the lower the cost for patients.④Drug and material costs accounted for 17.29% and 22.97% of the total cost of hospitalization for gastric cancer respectively. The higher the level of hospitalization, the lower the proportion of drug costs.⑤Theactual compensation ratio for hospitalization of gastric cancer patients was 63.81%, and the actual compensation ratio for the poor population (91.24%) was higher than that of the general population(60.03%). strengthening the inpatient service capacity of gastric cancer at the county?level medical institutions and establishing an effective referral mechanism for progressive patients can effectively reduce the direct economic burden of gastric cancer.
查看全文   查看/发表评论  下载PDF阅读器
关闭