| 陈媛媛,祝佳,秦侠.安徽省某医院新农合部分癌症按病种付费费用分析[J].济宁医学院学报,2016,39(4):261-264 |
| 安徽省某医院新农合部分癌症按病种付费费用分析 |
| Effect of DRGs of part cancerous diseases under the NCMSin a provincial-level hospital of Anhui Province |
| 投稿时间：2016-05-09 |
| DOI：10.3969/j.issn.1000-9760.2016.04.010 |
| 中文关键词: 新农合;费用构成;自付比例;按病种付费 |
| 英文关键词: NCMS;Fee structure;Pays ratio;DRGs |
| 基金项目: |
| 作者 | 单位 | | 陈媛媛 | 安徽医科大学卫生管理学院, 合肥 230032 | | 祝佳 | 安徽医科大学第一附属医院, 合肥 230022 | | 秦侠 | 安徽医科大学卫生管理学院, 合肥 230032 |
|
| 摘要点击次数: 5376 |
| 全文下载次数: 1243 |
| 中文摘要: |
| 目的 探讨安徽省某省级医院新农合制度下部分癌症疾病纳入按病种付费后对费用构成和自付比例的影响。方法 选取该院食道癌、胃癌、乳腺癌、肺癌4种癌症病种，对其实施按病种付费前后的费用变化进行比较分析。结果 与实施前比较，4种癌症费用构成指标值总体呈下降趋势，部分费用构成指标值上升，次均患者自付费用比例下降趋势明显，其中乳腺癌、肺癌、食道癌、胃癌均下降约20%，差异具有统计学意义（P<0.05）。结论 按病种付费新政策实施后患者费用构成比例出现下降趋势，农民患者自付比例显著降低，负担有效减轻，新方案实施后效果值得肯定。 |
| 英文摘要: |
| Objective To discuss the impact on the fee structure and pays ratio of DRGs of part cancerous diseases under the NCMS new policy in a provincial-level hospital of Anhui Province. Methods The study reviewed in patients who diagnosed with esophageal cancer,gastric cancer,breast cancer and lung cancer before and after DRGs,and comparative analysis on medical costs. Results Each fee structure was weak overall index decline,the proportion of patients at his own expense decline was particularly evident where breast cancer,lung cancer,esophageal cancer,and gastric cancer decreased by 20%.P-value was less than 0.05 which had statistically significant. Conclusion After the implementation of new policy,fee structure proportion have downtrend,and pays ratio significantly reduced,.After the implementation of the new policy,the effect is worthy of recognition. |
|
查看全文
查看/发表评论 下载PDF阅读器 |
|
|
|
