目的:随着全民参保计划的实施,就诊患者中自费病人本该越来越少,但由于种种原因,参保者却只能按自费办理入院。通过对比2010年至2014年不同结算方式下患者的次均住院费用,分析费用差异的主要产生原因,以及由此带来的个人负担率的不同。并提出解决异地就医现状的建设性建议供参考。 OBJECTIVE: With the implementation of the universal health insurance plan, fewer and fewer patients should be treated at their own expense, but due to various reasons, the insured persons can only be admitted at their own expense. By comparing the average cost of hospitalization of patients under different settlement methods from 2010 to 2014, we analyzed the main reasons for the difference in costs and the resulting differences in individual burden rates. And put forward constructive suggestions for solving the current situation of medical treatment in different places for reference.