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目的:了解沧州市“医保”患者药品使用情况及药品费用控制政策的实施效果。方法:以算术平均数和构成比等指标描述急性阑尾炎患者的药品费用水平,利用秩和检验与多元线性回归模型等方法比较“医保”患者和自费患者的药品费用。结果:“医保”患者药品费用占住院总费用的30%~35%,《沧州市城镇职工基本医疗保险药品目录》以外药品费用占全部药费的9%以下,“医保”患者的药费高于自费患者。结论:沧州市“医保”患者药品费用控制效果较好,但药品费用仍有降低的空间。
Objective: To understand the implementation effect of drug use and drug cost control policies in Cangzhou “Medicare ” patients. Methods: To describe the cost of drugs in patients with acute appendicitis by means of arithmetic mean and constituent ratio, and to compare the cost of drugs in patients with “Medicare ” and self-pay patients by means of rank sum test and multivariate linear regression model. Results: “Medicare ” patients accounted for 30% ~ 35% of the total cost of hospitalization, “Cangzhou City, the basic medical insurance for urban workers” list of drugs other than pharmaceutical costs accounted for 9% of the total, “Medicare ” patients The cost of medicine is higher than the patients who pay for themselves. Conclusion: Cangzhou City, “Medicare” patients with better cost control of drugs, but there is still room for lower drug costs.