论文部分内容阅读
目的比较儿童先天性心脏病介入治疗住院医疗费用,为建立合理的医疗保障制度提供参考。方法运用统计描述和非参数检验方法分析住院费用及构成。结果儿童先天性心脏病介入治疗住院费用中位数为21693.25元,不同病种、不同年份的住院费用有显著性差异(P<0.05),其中材料费所占比重最大,不同支付方式实际补偿水平有显著性差异(P<0.05)。结论可通过控制住院医疗总费用、探索单病种定额付费、提高医保基金报销比例、加强与慈善机构合作等方式,完善对先天性心脏病儿童的医疗保障。
Objective To compare the cost of hospitalization for interventional therapy of congenital heart disease in children and provide a reference for establishing a reasonable medical insurance system. Methods The statistical description and non-parametric test were used to analyze the hospitalization costs and their composition. Results The median cost of hospitalization for children with congenital heart disease was 21,693.25 yuan. There were significant differences in hospitalization costs among different diseases and years (P <0.05), of which the material expenses accounted for the largest proportion and the actual compensation rates for different payment methods There was significant difference (P <0.05). Conclusion The medical insurance for children with congenital heart disease can be improved by controlling the total cost of inpatient medical services, exploring fixed payment for single disease, increasing the proportion of reimbursement for medical insurance funds, and strengthening cooperation with charities.