广州市医疗保险患者住院医疗费用影响因素的分析.研究

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1、中山大学硕士学位论文广州市医疗保险患者住院医疗费用影响因素的分析研究TheStudyonInfluencingFactorsofInpatientExpensewithMedicalInsuranceinGuangzhouCityMajor：MasterofPublicHealthName：ZhangLeiSupervisor：ProfessorLingLiAbstractResearchbaekgroundTocontrolrisingmedicalcostisthemostdirectcauseofpromoting

2、thereformofChinasmedicalinsurancesystem．Thedifficultyofmedicalinsurancereformishowtocontroltheirrationalincreaseofmedicalexpense．Themedicalinsurancefundmanagementneedstostrengthenitsexpenditurecontr01．Amongthem，theinsuranceamountoftheinpatientexpenseaccountondesi

3、gnatedhospitalisthemostimportant，舔itisthemainpartofthetotalexpenditure．Analysisofthedistributedcharacteristicsandtheinfluencingfactorsofinpatientexpenseispositivesignificanceaboutdevelopmentofeffectivemedicalservicemanagement，measurestocurbthegrowthofmedicalcost，

4、andtherationaluseofhealthresources．TheGuangzhoubasicmedicalinsurancesystemhasbeenimplementedfor6years．Withgrowingscaleofinsurants，thepopulationstructureanddiseasespectrumalsochange，itisnecessaryforinpatientexpenseanalysis，toinvestigatetheinfluencingfactorsofinpat

5、ientexpenseinGuangzhou，toguidetheadjustmentsofbasicmedicalinsurancepoliciesandmanagement，tocontrolmedicalcostbetter,andtoensurethattheinsuredpeopleaccesstobasicmedicalneedsoftheirrights．ResearchpurposeThepurposeofthisresearchWasbaSedon687，568recordsof2002—2007med

6、icalinsur-anceinpatientexpenseinGuangzhouCityoftheoverallanalysisofitsinfluencingfactors，toprovideatheoreticalbasisasareasonablecontrolmedicalexpenseandtheadjustmentofmedicalinsurancepolicies．IV中山大学硕士学位论文广州市医疗保险患者住院医疗费用影响因素的分析研究DataandmethodsExtractthemedicalinsu

7、rants’personalandin-patientinformationbetweenJanuary1，2002andDecember31，2007fromGuangzhouMedicalInsuranceImformationSystem．1．Considerpricechangesontheimpactofmedicalexpense：comparablemedicalexpenseobtainedbyadjustingtheinpatientexpensebytheconsumerpriceindex(CPI)

8、overtheyears．2．Descriptiveanalysissuchasmedian，upperquartile，lowerquartile，andmeanconstitu-entproportionareusedtoresearchthecompositionanddistributioncharacter