摘要
目的:通过研究高血压住院患者直接经济负担及其影响因素,为进一步缓解患者医疗费用负担提供参考依据。方法:通过运用人力资源和社会保障部医疗保险数据,采用Kruskal-Wallis H检验方法(非参数检验)及多元线性回归等分析城镇医保高血压患者住院费用负担及其影响因素。结果:65岁及以上高血压患者自付费用比例与45~64岁年龄段患者差异没有统计学意义;参加城镇职工医保的高血压患者自付住院费用比例明显低于参加城镇居民医保的患者。结论:提高65岁及以上患者的医疗保障水平和补偿比,进一步提高居民尤其是慢性病患者整体医疗保障水平。
Objectives:Through analyzing the direct economic burden of inpatients with hypertension and its influencing factors,it provides a reference for further easing the burden of medical expenses on patients.Methods:Kruskal-Wallis H test(non-parametric test)and multiple linear regression were used to analyze hospitalized hypertension patient’s medical care economic burden and tis influence factors.Medical insurance data were collected from ministry of human resources and social security.Results:There was no significant difference between the copayment for patients aged 65 years and above and the 45-64 age group.Copayment hospitalization fees for hypertensive patients participating in medical insurance for urban employees was significantly lower than that of those who participated in medical insurance for urban residents.Conclusions:It is considered to reduce copayment for those who aged 65 and above and Increase the compensation ratio for patients aged 65 and above,and chronic disease patient to reduce their economic disease burden.
作者
唐昌敏
杨凌鹤
闵锐
方鹏骞
TANG Changmin;YANG Linghe;MIN Rui;FANG Pengqian(School of Medicine and Health Management,Tongji Medical College,Huazhong University of Science and Technology,No.13,Hangkong Road,Qiaokou District,Wuhan,430030,Hubei Province,PRC)
出处
《中国医院》
2018年第10期37-39,共3页
Chinese Hospitals
基金
中国博士后科学基金面上项目(2015M582230)
国家自然科学基金青年项目(71603077)
关键词
高血压患者
住院费用
城镇医保
患者费用
hypertension patients
hospitalization cost
urban medical insurance
patient cost
