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目的探讨国家新医改政策对医疗费用趋向的影响。方法根据就医费别对2004～2008年某院住院费用中药品费、治疗费、检查费、手术诊疗费、床位费等指标的构成、次均费用,以及对急性阑尾炎单病种付费等数据资料进行逐项统计分析。结果5年间住院费用构成中药品费占42.7%、治疗费占32.5%、检查费占13.4%、手术诊疗费占6.5%、床位费占4.9%。2004～2008年不同支付方式住院医疗费用均呈逐年上升趋势,其年均增长率为10%～11%。5年间不同费别住院病人平均次均费用医保比自费者多支出46%,公疗比自费者多支出78%。不同费别单病种急性阑尾炎次均费用医保病人比自费者少支出10.5%、比公疗病人少支出27.8%。结论国家新医改政策的逐步实施将是降低医疗费用过快增长的有效手段,是向病人提供安全、有效、方便、价廉的合理医疗服务的制度保障。
Objective To explore the impact of the new medical reform policy on the trend of medical expenses. Methods According to the medical expenses, the data of hospital expenses such as drug costs, treatment fees, examination fees, operation and treatment costs, bed charges and other indicators of 2004 ~ 2008 hospital costs, the average cost, and pay for acute appendicitis single disease data Conduct itemized statistical analysis. Results The cost of hospitalization accounted for 42.7% of the total cost of Chinese medicine in the five years, treatment costs accounted for 32.5%, examination fees accounted for 13.4%, surgical treatment costs accounted for 6.5%, bed costs accounted for 4.9%. From 2004 to 2008, the cost of hospitalization for different payment methods all showed a year-on-year upward trend, with an average annual growth rate of 10% to 11%. Median Average Expenses for Inpatients with Different Fare Rates over a 5-year Period Medicare pays 46% more than self-paid patients, and 78% more for home-care than self-paid patients. Different costs of single disease acute appendicitis average cost Medicare patients spend less than 10.5% of their own expenses, less expenditure than the public 27.8% of patients. Conclusion The gradual implementation of the new medical reform policy in the country will be an effective way to reduce the excessive growth of medical expenses and provide the system guarantee for patients to provide reasonable, safe, effective, convenient and inexpensive medical services.