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中文摘要: 目的：比较实施北部湾政策前后医院门诊慢性病费用的变化，探讨新政策的合理性。方法：通过描述性统计分析、中断时间序列分析比较北部湾政策实施前后次均总费用、次均自付费用等指标变化。结果：改革后糖尿病、冠心病次均总费用得到控制，高血压、慢性肝炎次均总费用无明显变化。结论：门诊慢性病不同病种的限额及报销比例及起付线应进一步细化调整，以实现医保基金利用率最大化。
Abstract:Objective：Comparing the cost of outpatient patients with chronic diseases after the implementation of new policy，explore the rationality of the new policy. Methods：By using the descriptive statistics and method of interrupted time series analysis，it compared the changes of the indicators including the average total cost of outpatient service and the burden of their own. Result：The cost of outpatients with diabetes and coronary heart disease was control. There are no significant change in the cost of outpatients with hypertension and chronic hepatitis. Conclusion：In order to maximize the utilization of medical insurance fund，the outpatient chronic disease policy should be further refined adjustment.
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李 琴,蒙健华,谭雄燕,陈凤磊,黄毅超.北部湾政策对门诊慢性病费用控制效果的研究[J].江苏卫生事业管理,2020,31(11):1470-1474.
LI Qin,MENG Jianhua,TAN Xiongyan,CHEN Fenglei,HUANG Yichao.Research on the effects of Beibu gulf policy on the cost control of outpatients with chronic diseases[J].Jiangsu Health System Management,2020,31(11):1470-1474.
李 琴,蒙健华,谭雄燕,陈凤磊,黄毅超.北部湾政策对门诊慢性病费用控制效果的研究[J].江苏卫生事业管理,2020,31(11):1470-1474.
LI Qin,MENG Jianhua,TAN Xiongyan,CHEN Fenglei,HUANG Yichao.Research on the effects of Beibu gulf policy on the cost control of outpatients with chronic diseases[J].Jiangsu Health System Management,2020,31(11):1470-1474.
