论文部分内容阅读
目的:分析按人头支付政策干预对参合对象住院医疗费用的相关影响。方法:收集2011—2015年浦东新区按人头支付干预前后新型农村合作医疗住院患者医疗费用相关数据,通过时间序列分析方法,评价政策干预对参合对象住院医疗费用的影响。结果:政策干预后40个月参合对象的实际次均住院费用(11 176.95元)较干预前20个月(8 279.66元)增加了34.99%;按人头支付政策干预后,次均住院费用的模型预测值(12 836.63元)明显高于实际值(P<0.001);同时,简单季节模型结果显示,同期参合对象的实际住院人次与预测值基本持平(P>0.05)。结论:按人头支付政策干预实施3年多来,有效遏制了住院患者医疗费用的过快增长,但未抑制住院服务需求的合理释放。
OBJECTIVE: To analyze the relative impact of intervention by head-to-head policy on inpatient medical expenses of participating parties. Methods: The data of medical expenses of inpatients in new rural cooperative medical system before and after the intervention in Pudong New Area were collected from 2011 to 2015, and the influence of policy intervention on the cost of inpatient medical services was evaluated by time series analysis. Results: The actual average hospitalization cost (11 176.95 yuan) for the 40 months after policy intervention was 34.99% more than the 20 months prior to the intervention (8 279.66 yuan). After the policy of head-pay policy intervention, the average cost of inpatient hospitalization The predicted value (12 836.63 yuan) was significantly higher than the actual value (P <0.001). Meanwhile, the results of the simple seasonal model showed that the actual in-hospital attendance was basically the same as the predicted value (P> 0.05). Conclusion: According to the policy of “human head payment policy intervention” being implemented for more than three years, the rapid growth of hospitalized medical expenses has been effectively checked, but the reasonable release of inpatient service needs has not been suppressed.