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中文摘要: 目的 分析2015年甘肃省会宁县新农合分级诊疗住院患者疾病构成及费用情况，为优化分级诊疗政策提供决策依据。方法 按照国际疾病标准（ICD-10）对住院患者前5位疾病构成按不同性别、年龄组和医疗机构进行顺位对比分析，并对住院费用分不同补偿类型与医疗机构进行对比分析。结果 会宁县全年住院患者共计12 254例，男女之比为0.63:1；慢性阻塞性肺疾病、高血压、正常分娩、冠心病和小儿支气管肺炎为该县主要病种；住院费用的总体可补助医药费比例为95.6%，总体实际补偿比例为55.5%；分级诊疗患者占新农合住院患者的51.4%；县内住院率为82.4%。结论 2015年会宁县住院患者女性住院例数多于男性，以慢性疾病为主且慢性阻塞性肺疾病居于首位；住院费用的实际补偿比例较低；分级诊疗、县内医疗机构的住院患者住院费用相对较低。
Abstract:OBEJECTIVE To analyze disease constitution and cost analysis of inpatients in Huining county in 2015,so as to provide the decision basis of improving hierarchical diagnosis and treatment. METHODS According to the International Classification of Disease Standard (ICD-10) to analyze the top five disease constitution of sex, age and medical institution and the cost analysis of compensation type and medical institution. RESULTS A total of 12 254 cases of inpatients in Huining county in 2015 and the inpatients compared to male and female were 0.63:1.The major disease of Huining county were chronic obstructive pulmonary disease, hypertension, normal delivery, coronary heart disease, pediatric bronchial pneumonia. The proportion of subsidized medical expenses and actual compensation were 95.6% and 55.5%, respectively. The Inpatients of hierarchical diagnosis and treatment and hospitalized in the county accounting for 51.4% and 82.4%, respectively. CONCLUSION The inpatients of Huining county in 2015 female more than male and the main desease were chronic disease and chronic obstructive pulmonary disease up to the first.. The proportion of actual compensation of inpatient’s costs was relatively low.The inpatients of hierarchical diagnosis and treatment and hospitalized in the county ,those costs were relatively low.
keywords: huining county inpatient disease constitution cost analysis hierarchical diagnosis and treatment
文章编号：3201803005 中图分类号：R197 文献标志码：
基金项目:
| 作者 | 单位 |
| 葛勇宏①，燕 武①，王蓉娟① |
| Author Name | Affiliation |
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