描述中国农村跨省高成本患者:跨部门研究
Minjiang Guo1, Xiaotong Jiang1, Yang Liu1
1Health Insurance Information Research Department, Institute of Medical Information, Chinese Academy of Medical Sciences, Beijing, China.
JMIR public health and surveillance
|June 11, 2025
概括
在中国农村寻求跨省护理的高成本患者的平均成本更高. 识别男性性别,并发症,癌症和专科医院等风险因素对于卫生政策制定至关重要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 卫生经济学 卫生经济学
- 公共卫生政策 公共卫生政策
背景情况:
- 高成本 (HC) 患者占医疗保健支出的一半以上.
- 中国农村居民越来越多地获得跨省的医疗保健和补偿.
- 在这个流动的农村人口中了解HC患者是必不可少的.
研究的目的:
- 分析中国农村地区使用跨省医疗保险的高成本 (HC) 患者的特点.
- 在这个人口群体中确定与成为高成本患者相关的风险因素.
主要方法:
- 利用了来自跨省医疗补偿系统 (2017-2019) 的数据.
- 定义HC患者是那些在年度医疗支出中排名前10%的患者.
- 采用安德森的行为模型和多变量逻辑回归分析.
主要成果:
- 包括2987名患者;HC患者占总费用的34.5%.
- 每位HC患者的平均年度住院费用为22,460美元.
- 男性性别,多种并发病,癌症诊断和专业医院护理是HC状态的重要风险因素.
结论:
- 中国农村的跨省HC患者的平均住院费用更高.
- 确定的风险因素可以为公平的卫生融资政策和资源分配提供信息.
- 建议针对性干预措施来管理这一群体中的HC患者.
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