| 摘要: |
目的 探索影响广州医保普通住院医保定额超支的因素,为控制医保超支提供参考。方法 运用χ2检验、Logistic 回归对某三甲综合性医院2014年7月1日至2015年6月30日,对普通住院结算的广州医保参保人的医保超支影响因素进行分析。结果 年龄、人员类别、住院天数、是否抢救病人、是否手术、病例分型、入院途径是影响医保超支的危险因素。结论 住院时间越长,入院途径不明确，医保超支的机率越大;年龄特征、人员类别诱发医保超支;其他来自政府、医保制度以及医院管理方面的因素影响医保超支。 |
| 关键词: 普通住院 医保超支 影响因素 logistic 回归 |
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| An Analysis of the Influence Factors of Guangzhou Medical Insurance Overspending |
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| Abstract: |
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Objective
This paper discussed the influence factors of Guangzhou medical insurance overspending for providing references of controlling medical insurance overspending. Methods Usingχ2 test and logistic regression to analyze the influence factors of medical insurance overspending for hospitalization patients from July 1 2014 to June 31 2015 in arbitrary class-A hospital. Results The risk factors of medical insurance overspending included the age, hospitalization patients class, day of hospitalization, rescuing patients, operation,case class and hospitalization diagnosis. Conclusion The longer time of hospitalization and the more ambiguous hospitalization diagnosis,the bigger chance of medical insurance overspending rate; the characteristic of age and personnel category induced medical insurance overspending;the factors from government,medical insurance system and management of medical hospital affected medical insurance overspending. |
| Key words: TEXT-ALIGN: justify LINE-HEIGHT: 150%">common hospitalization,medical insurance overspending,effect factor,logistic regression |
