某市新农合7种恶性肿瘤患者住院费用与保障水平分析.pdfVIP

[农村卫生管理] 中国卫生事业管理 2014 年第7 期(总第 313 期) 某市新农合7 种恶性肿瘤患者住院费用与保障水平分析* 肖燕I ，魏少忠l ，项莉2 (1.湖北省肿瘤医院，湖北武汉 430079;2. 华中科技大学同济医学院医药卫生管理学院) [摘要] 目的:研究重大疾病保障范围内 7 种恶性肿瘤患者年均住院费用情况及新农合保障水乎，为制定重大疾病 补偿政策提供依据。方法:对湖北省某县级市 2010 年至 2012 年新农合数据库中 7 种恶性肿瘤及全病种的次均住院费 用、年均住院次数、年均自付费用、可报销比及实际补偿比等指标结果进行描述性分析，对数据分年度、分不同级医疗机构 进行比较研究。结果:恶性肿瘤患者市外流向多;患者疾病经济负担重;市级及乡级医疗机构实际补偿比较高，而市外医 疗机构就医患者实际补偿比较低。结论:恶性肿瘤疾病的治疗难度使得市外就医趋势增大;恶性肿痛治疗方式及预后增 加了患者经济负担;市外就医使得肿瘤患者实际补偿比较低，疾病经济负担重。 [关键词] 恶性肿瘤;住院费用;保障水平 [中图分类号] R 197 [文献标识码] A [文章编号] 1∞4-4663(2014)07 -522 -03 Analyzing the hospitalization e鸡JeDSe and iDSurances {rom NCMS {or patients with 7 kinds of 田ncers in one City.1 Xiao Yan ,et a1 .IIThe Chinωe H四Ith Service Management. Abstract Objective To study the average hospitalization expense and insurances from NCMS for patients with 7 kinds of cancers ,and provide references for policy-making. Methods Indexes of average hospitalization expense per time ,average hospitaliza- tion times per year. average out-of pocket expense per ye町. compensation ratio within the scope of the policy and actual compensa- tion ratio of 7 kinds of cancers and all kinds of diseases were obtained from the database of NCMS from 2010 to 2012 and descrip- tively analyzed. And data was comparatively studied in ye臼S and medical institutions. Results 臼le proportion of cancer patients which chose to hospitalize out of the city w幽 high. Economic burden on cancer patients w.幽 heavy. The actual compensation ratio for township and county medical institutions was high ,while it was low for extramural medical institutions. Conclusion 咀e difficul- ties of treating cancers make more patients preferring t