摘要
目的 调查苏州市医改后门诊费用状况。方法 采用计算机SPSS软件系统分析 30 5 4张三家三级医院的门诊处方。结果 公费次均费 183.2 9± 175 .89元 ,自费 87.85± 95 .6 1元 ,而医保则为 71.36± 49.5 5元 ,三者差别有非常显著意义 (P =0 .0 0 0 0 )。变异系数分别为 96 .0 % ,10 8.8% ,6 9.6 %。医保病人个体差异最小 ,超定额率为 72 .0 % ,36 .4%和 37.3% (P <0 .0 1)。结论 医保门诊定额偏紧 ,门诊主要表现为负面效应 ,应调动医院积极性 ,采取有效控制门诊费用的措施。
Objective To survey the expenses of outpatient service among the insured employees in Suzhou.Method Prescription fee of 3054 outpatients in third-class hospitals in Suzhou City were surveied and analysed using SPSS software.Result The average prescription fee per person-time of state-paid patient was 183.29±175.89$,the self-paid patient 87.85±95.61$,the insured patient 71.36±49.55$.The difference among them is very significant ( P =0.0000).The coefficient of variation were 96.0%,108.8% and 69.6%.The insured patient had the minimum individual deviation.The overspending rates of these two categories of patients are 72.0%,36.4% and 37.3%,respectively ( P <0.001).Conclusion The payment by insurance company is low for one-time outpatient service.As a result,it negatively affects the outpatient service.Measures should be taken to stimulate the hospital's enthusiasm and to control the increase of the outpatient service charges.
出处
《苏州医学院学报》
2000年第6期526-528,538,共4页
Acta Academiae Medicinae Suzhou
关键词
医疗保健制度
改革
苏州市
门诊费用
health-care system reform
outpatient service charges
Suzhou
survey
