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目的:通过对职工生育保险人头包干支付模式对产科医药费用影响的研究,探讨医疗保险支付方式对医疗服务和药品费用的制约作用,以期控制医药费用的不合理增长。方法:统计2008—2011年间银川市职工生育保险参保职工住院分娩的住院医药费用和药品费用等,用统计学方法比较人头包干付费前后,各项费用的变化情况。结果:人头包干付费实施后,研究对象的人均住院费用、人均药品费用、药占比均有降低。结论:人头包干付费对降低职工生育保险参保职工住院分娩费用效果明显,通过费用限制,在控制医药费用不合理增长中起到了积极作用。
OBJECTIVE: To study the impact of payment mode of maternity insurance on obstetric medical expenses by maternity insurance maternity insurance, and to discuss the restrictive effect of medical insurance payment on medical service and drug costs in order to control the unreasonable increase of medical expenses. Methods: The hospitalization expenses and drug costs of workers who were admitted to labor insurance in Yinchuan from 2008 to 2011 were statistically analyzed, and the changes in expenses before and after payment were compared statistically. Results: After the implementation of the first payment, the per capita hospitalization costs, the per capita drug costs and the proportion of the drugs in the study subjects decreased. CONCLUSION: The payment by head packs has a significant effect on reducing hospitalization and delivery costs for employees participating in maternity insurance and has played an active role in controlling the unreasonable increase in medical expenses through cost constraints.