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中文摘要: 目的 了解甘肃省庆阳市新农合参合住院患者疾病构成及住院费用情况。方法 从庆阳市新型农村合作医疗管理办公室收集2011—2015年间参合患者住院报销数据88.21万条，分析疾病构成及费用情况。结果 按系统疾病顺位排序，循环系统疾病、呼吸系统疾病和消化系统疾病等为前10位。按疾病顺位排序，脑血管病、缺血性心脏病、流行性感冒和肺炎、慢性下呼吸道疾病以及胆囊、胆道和胰腺疾患排前5位；其中胆囊、胆道和胰腺疾患次均住院费用最高，平均增长速度最快, 为72.79%。结论 合理引导常见病、多发病患者在基层诊疗，可有效控制医疗费用不合理增长。
Abstract:Objective To explore the sequence and composition of leading diseases and expenditure of inpatients in Qingyang, Gansu province, under New Rural Cooperative Medical Scheme. Methods A total number of 882.1 thousand inpatient reimbursement data were collected from local new rural cooperative medical scheme management office span the year of 2011 to 2015. The composition and expenses of diseases were analyzed. Results The top 10 leading diseases were circulation disease, respiratory disease, digestive disease, pregnancy, childbirth and puerperium, certain other consequences of injury, poisoning and external causes, etc. The top 5 conditions were cerebrovascular disease, ischemic heart disease, influenza and pneumonia, chronic lower respiratory disease, as well as gallbladder, biliary and pancreatic diseases. The average expenditure per admission of gallbladder, biliary tract and pancreas diseases were the highest among the five conditions, and the average growth rate was 72.79%. Conclusion Rationally guiding patients with common and frequently conditions to seek for healthcare at primary healthcare settings could effectively control unreasonable growth of medical expenses.
文章编号：3201910005 中图分类号：R197 文献标志码：
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