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目的对全疆新农合患者住院医疗费用中构成因素的统计分析,探讨通过合理途径降低新农合住院患者医疗费用的有效方法。方法调取新疆某三甲医院HIS系统中2011年-2014年新农合住院患者相关数据,统计包括患者住院人次、总费用、次均住院费、药品费、治疗费、检查费、化验费等,对比分析得到的数据。结果该院2011年-2014年新农合患者住院人次增长了6473人,增幅196.45%。2011年-2014年均次住院总费用为1.69±0.16万元,其中药品费用占总费用的36.39%,治疗费用占总费用的10.17%,检查费用占总费用的8.97%,化验费用占总费用的11.08%。结论通过合理的引导患者就医,提高工作效率,规范用药与合理治疗等措施可有效控制新农合患者住院费用的增长。
Objective To analyze the factors that influence the hospitalization cost of new rural cooperative medical patients in Xinjiang and to find out the effective ways to reduce the medical expenses of inpatients in New Rural Cooperative Medical System through reasonable ways. Methods The data of patients in NCMS from 2011 to 2014 in HIS of a top three hospital in Xinjiang were collected. The statistics included the number of hospitalized patients, the total cost, the average hospitalization expenses, the medical expenses, the treatment fees, the examination fees and the laboratory tests, Comparative analysis of the data obtained. Results The hospital from 2011 to 2014 NRCMS inpatients increased by 6473 people, an increase of 196.45%. From 2011 to 2014, the average cost of hospitalization was 1.69 ± 0.16 million, of which 36.39% of the total cost of medicine, 10.17% of the total cost of treatment, examination costs accounted for 8.97% of the total cost, laboratory costs accounted for the total cost Of the 11.08%. Conclusion The rationalization of patient guidance, improved work efficiency, standardized medication and reasonable treatment can effectively control the growth of hospitalization costs in NCMS.