[1]刘哲敏,罗红叶,冯启明,等.老龄化背景下广西城镇职工参保人群卫生服务利用分析[J].卫生经济研究,2021,38(5):45-48,54.
　LIU Zhe-min,LUO Hong-ye,FENG Qi-ming,et al.Analysis on Health Service Utilization Among the Insured Population of Urban Workers in Guangxi Under the Background of Aging[J].Journal Press of Health Economics Research,2021,38(5):45-48,54.
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老龄化背景下广西城镇职工参保人群卫生服务利用分析
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卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
38
期数:
2021年5期
页码:
45-48,54
栏目:
卫生服务
出版日期:
2021-04-30

文章信息/Info

Title:
Analysis on Health Service Utilization Among the Insured Population of Urban Workers in Guangxi Under the Background of Aging
作者:
刘哲敏1; 罗红叶1; 冯启明1; 赵歆妍2; 刘 伟1; 黄永耀1; 罗 萍3
1.广西医科大学信息与管理学院，广西 南宁 530021
2.广西医疗保险研究会，广西 南宁530022
3.广西医科大学附属口腔医院，广西 南宁 530021
Author(s):
LIU Zhe-min;  LUO Hong-ye;  FENG Qi-ming;  ZHAO Xin-yan;  LIU Wei;  HUANG Yong-yao;  LUO ping
School of Information and Management, Guangxi Medical University, Nanning Guangxi 530021, China
关键词:
城镇职工基本医疗保险; 老龄化; 卫生服务利用; 广西
Keywords:
basic medical insurance for urban employees;  population aging;  health service utilization;  Guangxi province
分类号:
R197.1
文献标志码:
A
摘要:
目的：分析2017—2019年广西城镇职工参保人群卫生服务利用情况，为完善城镇职工医保制度提供依据。方法：利用广西基本医疗保险年报数据，对在职职工和退休人员两类参保人群的卫生服务利用情况进行分析。结果: 2017—2019年广西城镇职工参保人员普通门急诊从2 392.72万人次增长到2 640.97万人次，门诊大病从455.72万人次增长到510.59万人次，住院人数从102.95万人增长到160.55万人，平均住院日逐年缩短，50%以上参保人员选择二级及以上医院就诊。结论：老龄化背景下定点医院医疗资源过度利用，住院服务利用增加，应提高卫生服务的利用效率，提高门诊统筹支付比例，控制医保基金支出水平。
Abstract:
Objective To analyze the health service utilization among the insured population of urban workers in Guangxi from 2017 to 2019, so as to provide basis for improving the medical insurance system of urban workers. Methods Based on the data of the annual report of basic medical insurance in Guangxi from 2017 to 2019, this paper analyzes the health services utilization among employed workers and retirees. Results From 2017 to 2019, the number of general outpatient and emergency services for insured urban emploeyees in Guangxi increased from 23.927 2 million to 26.409 7 million, the number of outpatients with serious diseases increased from 4.557 2 million to 5.105 9 million, and the number of inpatients increased from 1.029 5 to 1.605 5 million.The average hospital stay is shortened year by year, and more than 50% of the insured population choose secondary and above hospitals. Conclusion Under the background of aging, the medical resources of designated hospitals are overutilized, and the utilization of hospitalization services is increased.It is necessary to improve the utilization efficiency of health services increase the proportion of overall payments for outpatients and control the expenditure level of medical insurance funds.

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更新日期/Last Update: 2021-04-30