UM E-Theses Collection (澳門大學電子學位論文庫)
Title
新型農村合作醫療住院病人醫療費用及其報銷機制研究 : 2011年山東省某縣的個案分析
English Abstract
Objective: To understand the relevant information of patients who join in the New rural cooperative medical system,to analyze their payment, economic burden and proportion of reimbursement, to examine the status quo of the payment transform of the new rural cooperative medical system in the sample county, as well as the problems encountered Methodology: The statistics software SPSS19.0 is used to conduct a descriptive analysis of patient diagnostics and disease constituents, to take-parametric test for normally distributed variables and the non-normal distributed variables which have no homogeneity of variance after conversion. The main method employed in the parametric test is one-way ANOVA and the t-test, and in the non-parametric tests is nonparametric rank sum test and Wilcoxon signed rank sum test. Results: 1. Patients’ age distribution of the sample county: the age distribution of outpatients is mainly the elderly group of 41-70 years old, the age distribution of hospitalized patients 1-5 and 51-60 years old. 2. The disease distribution in the sample county: outpatient disease is relatively concentrated with the top three diseases: respiratory diseases, digestive diseases and circulatory system diseases, which account for more than 85% of the sample size. The diseases of the hospitalized patients are more diversified, with the top seven diseases: the respiratory diseases, circulatory system diseases, pregnancy, childbirth, puerperium, cancer, injury, poisoning and the consequences due to external causes, digestive diseases, urinary and reproductive system diseases, which account for more than 75% of the sample size. 3, Analysis of the total cost of the new rural cooperative patients in the sample county: outpatient average cost of 30.52. Among the patients whose total cost is the top 100, the top three age distribution is 71-80 years old (21 cases), 41-50 years old (17 cases), 61-70 years (14 cases), which account more than 50% of the sample size, and the top three diseases in the disease distribution are cerebrovascular (18 cases), various types of cold (17 cases), various types bronchitis (12 cases), which account for more than 50% of the sample. Outpatient costs between different gender, age, and disease group have significant difference (P
Chinese Abstract
目的: 了解参加新型农村合作医疗的病患医疗相关信息,分析新农合病患的支付方 式、经济负担以及报销比例,探讨样本县新农合支付方式改革现状,所遇到的问 题,以期继续完善新型农村合作医疗制度。 方法: 应用统计软件 SPSS19.0, 对病人特征、疾病构成作描述性分析, 对正态分布 的变量采取参数检验,对非正态分布且经转换仍不具有方差齐性的变量采取非参 数检验。参数检验用到的主要方法为 one-way ANOVA 和均值的 t 检验,非参数 检验主要用到非参数 Kruskal- Wallis 检验和 Wilcoxon 符号秩和检验。 结果: 1、样本县参加新农合患者的年龄分布:门诊病人的年龄分布主要集中在 41-70 岁的中老年患者组,住院病人的年龄分布以 1-5 以及 51-60 年龄段为主。 2、样本县参加新农合患者的疾病分布:门诊病人的疾病相对集中,排名前 三位的疾病是呼吸系统疾病、消化系统疾病以及循环系统疾病,这三类疾病的患 者超过样本量的 85%以上。住院病人疾病种类较多,排名前七位的为呼吸系统疾 病,循环系统疾病,妊娠、分娩和产褥期,肿瘤,损伤、中毒和外因的某些其他 后果,消化系统疾病,泌尿生殖系统疾病,这七大大类病患超过样本量的 75%。 3、样本县参加新农合患者的总费用分析:门诊患者次均费用为 30.52 元, 总费用排位前一百的患者中,年龄分布前三位的分别是 71-80 岁(21 例)、41-50 岁(17 例)、61-70 岁(14 例),超过所选样本的 50%,疾病分布的前三位分别 是脑血管类疾病(18 例)、各种类型的感冒(17 例)、各种类型的气管炎(12 例) 超过所选样本的 50%。不同性别、年龄、疾病组之间门诊费用经非参数 KruskalWallis 统计检验,组间差异具有统计学意义(P
Issue Date
2012
Author
王遙
Faculty
Institute of Chinese Medical Sciences
Degree
M.Sc.
Subject
Health insurance -- China.
醫療保險 -- 中國.
Hospitals -- Rates.
醫院 -- 收費之計算標準.
Medicinal Administration -- Institute of Chinese Medical Sciences.
醫藥管理 -- 中華醫藥研究院.
Supervisor
卞鷹
Library URL
b2590332
Files In This Item:
TOC & Abstract
Full-text
Location
1/F Zone C
Supervisor
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