| 摘要: |
| ????? 目的 探讨医保预付制改革对医院临床科研工作的影响及应对方法。方法 采用SPSS15.0软件对数据进行统计分析，组间率的比较采用χ2检验或Fisher精确概率法。结果 2012年6月以前与2012年6—10月相比，新收治乳腺癌病例中医保病例的比例从35.8%下降至28.9%（P=0.029），2012年11月上升至38.2%；随着控制收治医保病例，BC06研究的入组率从19.8%下降至13.2%（P =0.009），其中医保病例入组率从17.3%下降至7.8%，绝对差异下降了接近10.0%，相对差异下降了54.9%（P=0.027），非医保病例的入组率绝对差异则仅下降了6.0%，相对差异仅下降了27.4%（P=0.0700 ）。结论 医保预付制改革对医院医保病例收治、临床科研入组等方面造成了一定的影响，应采取相应措施将此影响降至最低程度。 |
| 关键词: 医疗保险 预付 临床科研 入组率 |
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| Influence Analysis of Prepaid Medical Insurance on Clinical Science Research in the Hospital |
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| Abstract: |
???? Objective
To investigate the influence of prepaid medical insurance on clinical science research. Methods Data was analyzed through using SPSS15.0, and inter-group comparisons were conducted using χ2 or Fisher’s test. Results Medical insurance cases took percentage of 28.9% among all newly received patients from June to October, 2012, which was statistically lower (P=0.029) than the percentage of 35.8% before June, 2012. The percentage rose to 38.2% in November. The enrollment rate of RCT BC06 declined from 19.8% to 13.2% (P=0.009). The enrollment rate of medical insurance cases declined from 17.3% to 7.8%. The absolute difference was approximately 10%, the relative difference was 54.9%（P=0.027）. The absolute difference of the enrollment rate of non-medical insurance cases was 6.0%, and the relative difference was 27.4%（P=0.027）. Conclusion Medical insurance cases mean a great deal to clinical science research. Prepaid medical insurance played a part on reception of medical insurance cases and enrollment of clinical trials. Provision should be carried out to lower the impact. |
| Key words: medical insurance, prepayment,clinical science research, enrollment rate |
