摘要
目的:研究生育保险病种费用影响因素,为生育保险按病种付费提供依据。方法:抽取南京市4家医院2002～2004年生育保险参保人员病历首页以及财务结算帐单1525份,用结构方程模型(SEM)方法分析。结果:临床特征、医护质量和社会经济特征三个隐变量对住院费用的影响系数分别为0.9334、0.3194、0.2230,病种临床特征对住院费用影响最大。结论:SEM分析生育保险病种住院费用影响因素收到很好的效果。
Objective：To study the influencing factors of specific disease in the maternity insurance and to give the evidence for payment system according to specific disease. Methods：Structural equation models were used to analyze the data of 1525 cases from 4 hospitals in Nanjing from 2002 to 2004. Results：The effect coefficient of the clinical characters, the quality of medical care and the social-economic character was 0.9334, 0.3194, 0.2230, respectively. In the 3 latent variables, the effect coefficient bf clinical characters was the most significant on the medical cost. Concluslon：Structural equation models could be established and effectively analyze the influencing factors of specific disease.
出处
《南京医科大学学报（自然科学版）》
CAS
CSCD
北大核心
2007年第4期398-401,共4页
Journal of Nanjing Medical University(Natural Sciences)
基金
劳动与社会保障部生育保险医疗费用病种结算项目资助(劳社厅发[2004]14)
国家自然科学基金资助(70603005)
关键词
结构方程模型
生育保险
病种费用
影响因素
structural equation models（SEM）
maternity insurance
medical cost for specific disease
influencing factors
