[1]陈诚诚,郭佳琪.长期护理费用控制与支付方式研究——以S市长期医疗护理保险试点为例[J].卫生经济研究,2020,(02):49-53.
　CHEN Cheng-cheng,GUO Jia-qi.Study on the Control and Payment Methods of Long-term Care Costs——Taking Long-term Medical Care Insurance Pilot in S City as An Example[J].Journal Press of Health Economics Research,2020,(02):49-53.
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长期护理费用控制与支付方式研究
——以S市长期医疗护理保险试点为例
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卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
期数:
2020年02期
页码:
49-53
栏目:
医保天地
出版日期:
2020-02-11

文章信息/Info

Title:
Study on the Control and Payment Methods of Long-term Care Costs
——Taking Long-term Medical Care Insurance Pilot in S City as An Example
作者:
陈诚诚1; 郭佳琪2
1.北京信息科技大学公共管理与传媒学院，北京 100192
2.清华大学医院管理研究院，广东 深圳 518055
Author(s):
CHEN Cheng-cheng; GUO Jia-qi
School of Public Management and Media，Beijing University of Information Science and Technology，Beijing 100192，China
关键词:
长期护理; 支付方式; 病例组合; 资源消耗; 费用控制
Keywords:
long-term care; payment methods; case-mix; resource consumption; cost control
分类号:
R197.1
文献标志码:
B
摘要:
长期护理保险制度在试点过程中，由于各地对长期护理概念的认识不一，覆盖的人群特质间有较大区别，在此基础上建立的单一支付方式不利于费用的控制。对S市长期医疗护理试点的多元线性回归分析结果表明，不同个体特质对费用具有显著影响；不同功能医院的住院费用、住院天数有显著的统计性差异，因此按照医院等级的床日付费对费用控制的影响力较弱；应根据医院功能设置支付标准，并按照个体差异状态建立长期护理的病例组合系统。
Abstract:
In the pilot process of the long-term care insurance system，due to the different understandings of the concept of long-term care in different places，there are large differences in the characteristics of the population covered. A single payment method based on this is not conducive to cost control. The results of multiple linear regression analysis of the long-term medical care pilot in S City showed that different individual characteristics had a significant impact on costs；there were significant statistical differences in hospitalization costs and length of hospitalization in hospitals with different functions. So the cost based on hospital-level bed-days had weak influence of cost control. The payment standards should be set according to the function of the hospital，and a case-mix system for long-term care should be established according to individual differences.

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更新日期/Last Update: 2020-02-11