医保类型对急性脑梗塞治疗效果和治疗成本的影响.pdfVIP

第 23 卷第 7 期 医学与社会 Vo 1.23 No.7 2010 年 7 月 Medicine and Society Ju1. 201O .45. 医保类型对急性脑梗塞治疗效果和 治疗成本的影响 张良 I 张琪 2 陈俊国 3 尹岭 1 1 解放军总医院，北京， 100853;2 解放军 260 医院，石家庄， 050041 ;3 第三军医大学，重庆， 400038 摘要 目的:研究急性脑梗塞患者参保类型不同对其治疗效果和治疗成本的影响。方法:选择 40 家民院在一段时间内 收治的初发急性脑梗塞患者作为研究对象，奇效病例共 368 例，数据分析采用Kruskal- Wallis 秩和检验。结果:不同类理-医疗 保险之间治疗成本差异有统计学意义 (P0.0 1) ，治疗效果差异尤统计学意义 P0.05) 。结论:不同类型医疗保险对疾病治疗 成本的增长有不同程度的影响，但对治疗放果没街明显影响。 关键词 急性脑梗塞:医疗保险:治疗成本:治疗效果 中国分类号 R743.33 文献标识码 A DOI. 1O.3870NXYSH.2010.07.01 7 Research 00 Iot1ueoce of Medical Iosuraoce 00 Therapeutic Efficacy aod Health Costs of Acute Cerebral Iofarctioo Patients Zhang Liang et al Department ofSurge 吵;Chinese PLA GeneraJ HospitaJ.Beijing.JOO853 Abstract Objective: To S饥ldy the ínfluence of different types of medical insurance on therapeutic efficacy and health costs of acute cer? ebral infarction patients , Methods: Selected randomly 368 cases of acute cerebral infarction from 40 hospitalis of some province as research objects, survied the treatment effects and cost at different admission time. The survey data were analysed using Wilcoxon rank sum test. Re? sults: There had significant difference in treatment costs among different types of medical insurance (PO.O 1). 币lere had no si伊 ificant statis? tical difference ín 自lction recovery among patients with different types of medical insurance 伊0 .05).