Payment structure and influencing factors of hospitalization medical expenses of medicare patients
- VernacularTitle:医疗保险患者住院医疗费用支付结构与影响因素分析
- Author:
Lin CHEN
;
Jianhua MAO
;
Yuxiu LIU
;
Chunhui WANG
;
Mei LIN
;
Guobin YANG
;
Li LU
- Publication Type:Journal Article
- Keywords:
Basic Medicare;
Hospitalized patients;
Personal burden;
Ethics
- From:
Journal of Medical Postgraduates
2014;(7):728-732
- CountryChina
- Language:Chinese
-
Abstract:
Objective The article was to analyze the payment structure of hospitalized urban employees receiving basic medi -cal insurance and the factors affecting the payment structure , resulting in measures to control the in-hospital fee of Medicare patients . Methods Statistical analysis was done on hospitalization expenses , expense composition and payment structure of hospitalized Medi-care patients in a first-class comprehensive hospital from 2002 to 2012 .The analysis of multiple stepwise regression were done on possi-ble influencing factors of hospitalization expenses and payment structure . Results With the adjustment of health policy , the propor-tion of medical insurance fund payment in the hospitalization expenses increased year by year , while the individual payment-scale re-duced accordingly .The hospitalization expenses and payment structure of Medicare patients were correlated with Medicare payment pol -icy, social demographic characteristics and clinical disease features . Conclusion By rational control on controllable factors , empha-sis on health care education , adjustment on Medicare payment policy and promotion on two way referral system , it is hopeful to realize the effective utilization of health resources , to achieve reasonable control on medical costs , and to reduce patients'economic burden .
