医保患者和自费患者住院费用及其影响因素

目的：对医保患者和自费患者住院费用差异性做出分析，找出其中的关键可控因素，从而在一定程度上控制医保医疗费用的过快增长。方法对从湖北某三甲医院HIS系统收集的2010～2012年医保出院患者和自费出院患者住院数据进行比较，并对两者的各项费用进行差异性分析。结果医保患者人均费用增长率高于自费患者人均费用增长率；医保患者人均药品费占人均住院费用比高于自费患者人均药品费占比。结论为医院医保管理找出医保费用增长的原因，并提出医院合理控制医疗费用的建议。

Contrast of hospitalization expense and analysis of its affecting factors between insured and uninsured inpatients

Objective Make the comparative analysis on hospitalization expenses between insured and uninsured inpatients and find out the key factors so as to control excessive growth of the medical insurance expense .Methods Compare and analyze the hos-pitalized data of the 2010～2012 insured and uninsured inpatients from a hospital＇HIS system in Hubei.Results The insured inpatients＇growth rate of per capita cost is higher than the uninsured inpatients＇;The per capita proportion of drug fees in the hospi-talization expenses of the insured inpatients is higher than that of the uninsured inpatients .Conclusion Find out the reasons of the growth of the medical insurance expense and propose the reasonable recommendations for controlling hospital＇s medical expenses.