Obj ectives The hospitalization expenses were compared in the different categories of patients with medical insurance (including medical insurance for urban workers , medical insurance for urban residents , medical corps, new rural cooperative scheme, and pay -of -pocket patients), to provide scientific basis to control the unreasonable growth of hospitalization expense .Method Cluster sampling method was used to obtain the hos -pitalization expenses of different categories of patients with medical insurance , who has be admit to a secondary hos-pital from 2011 to 2013.Descriptive statistics methods were used to analyze the inpatient expense and its constitu -tion.Conclusion The new rural cooperative scheme management department should strengthen the supervision of medical service to control hospitalization expenses .The keys to control the growth of the expenses should focus on the length of hospitalization day, the drug costs and other costs .%目的:比较不同类别医保患者(包括城镇职工医保、城镇居民医保、兵团医保、新农合以及自费患者)的住院费用,为控制住院费用不合理增长提供科学依据。方法运用整群抽样方法从某二甲综合性医院获取2010—2013年不同类别医保患者(包括城镇职工医保、城镇居民医保、兵团医保、新农合以及自费患者)的住院费用数据,用描述性统计对不同医保患者住院费用及各部分费用构成进行分析。结论新农合管理部门应加强对定点医疗机构的监管以控制住院费用的不合理使用。各类医保部门均应从控制患者住院天数、药品费用、其他费用等方面控制住院费用的增长。
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