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目的通过比较医保、自费和军队医改3类不同费别肺炎患者在住院费用上的区别,为降低医保、自费肺炎患者的费用支出提供数据支持及借鉴。方法选取某三甲医院2015年1513名治愈出院的肺炎患者为研究对象,分析费用差别及其原因。结果在住院天数、病情危重程度无明显差异情况下,医保和军队医改肺炎患者在费用上差异有统计学意义(P<0.05);军队医改肺炎患者病情危重程度明显高于自费肺炎患者,但两者在费用上差异无统计学意义(P>0.05)。结论通过对不同费别肺炎患者费用对比,医院应减少患者的费用支出,降低医疗成本。
Objective To compare the differences in hospitalization expenses between three types of patients with pneumoconiosis who pay for medical care and at their own expense and military medical reform, and provide data support and reference for reducing the expenses for medical insurance and self-pay pneumonia patients. Methods A total of 1513 patients with pneumonia who were discharged from hospital in a top three hospital in 2015 were selected as the research object to analyze the differences in cost and its causes. Results There was a statistically significant difference in costs between medical insurance and military health care pneumonia patients (P <0.05). There was a significant difference in the severity of pneumonia among military medical reform patients who had pneumonia at home and abroad, but two There was no significant difference in cost (P> 0.05). Conclusions By comparing the cost of different patients with pneumonia, the hospital should reduce the patient’s expenses and reduce the medical costs.