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目的探讨影响消化系统疾病医保患者住院费用的主要支配因子,为控制医疗费用的过快增长提供依据。方法分析某市三级甲等医院2009年-2010年5022名消化系统疾病医保患者住院费用。结果综合治疗因子、手术治疗因子、辅助材料因子、其他因子和中成药因子是支配消化系统疾病医保患者住院费用的公因子。结论加大卫生改革力度,实行药品收支两条线管理和药品公开招标;加强医院管理,改变医院收入结构;缩短平均住院天数,提高三日确诊率;重视针对消化系统疾病治疗的一般措施等4个方面是控制医疗费用过快增长的主要手段。
Objective To explore the main controlling factors affecting the hospitalization expenses of Medicare patients with digestive diseases and provide evidence for controlling the excessive growth of medical expenses. Methods To analyze the hospitalization expenses of 5022 patients with digestive diseases in 2009 and 2010 in Grade A hospitals in a certain city. Results Comprehensive treatment factor, surgical treatment factor, auxiliary material factor, other factors and proprietary Chinese medicine factor is dominated by digestive system diseases Medicare patients hospitalized public factor. Conclusion Intensify the health reform, the implementation of drug revenue and expenditure management of two lines and open bidding for drugs; to strengthen hospital management, change the hospital income structure; shorten the average length of stay in hospital to improve the three-day diagnosis rate; attention to the treatment of digestive diseases, general measures Four aspects are the main means to control the excessive growth of medical expenses.