基于系统动力学的慢性病医疗费用控制-研究

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1、英文摘要ControlofexpensesofmedicaltreatmentofchronicdiseasebasedonsystemdynamicsAbstractPurpose：Inthecontentofreinforcingthemonitoringroleofmedicalservice、improvingthepaymentsystemandreformingthemedicalinsurancepayment，it’Smeaningfultoexplorechronicdiseasema

2、nagement、managementmode、systemconstruction、thefactorsinfluencingthemedicalexpense，discussingchronicdiseasepatients’paymentofmedicalcostsfromdifferentdimensions，andanalysisthemeasuresofchronicdiseasemanagementinordertocontrolmedicalcostandbalancethefund．M

3、ethods：Tocollectallinformationofchronicpatientoutpatientandinpatientbetween2007-2009underthecollectingofchronicmedicalinsurancepoliciesathomeandabroad．UseSPSSI8．0toanalysischronicdiseaseoutpatientmedicalcostandinpatientexpenses，toanalysisthefactorsinflue

4、ncingmedicalcostbycelementinel2．0，toanalysisstructureofmedicaltreatmentofinpatientofchronicdiseasebygreycorrelationanalysisandtoanalysistheinfluencefactorsofdifferentcategoriesdiseaseusingcovarianceanalysis，usethesystemdynamictostimulatetheoperationofchr

5、onicmedicalinsurancefund．Results：Intheanalysisofchronicout-patient，therearetotal48，644people，amongwho26438women，themedianexpenseis1085．64yuan，22206men，themedianexpenseis1098．24yuan；thereare4124peoplelessthan45yearsold，themedianexpenseis1077．60yuan，12573p

6、eoplebetween45and59yearsold，themedianexpenseis856．37yuan，31947peopleolderthan60，themedianexpenseis193．15yuan；thereRaRe34107peopleretired，themedianexpenseis1190．17yuan，14537peopleon—the．job，themedianexpenseis880．00yuan．nesignificancefactorsaffectingoutpat

7、ientexpensesarethepersonalburden，whetherretirement，genderfromhi【ghtolow,outpatientcostofcompensationforpersonalaccountstopaythehighestproportion．Intheanalysisofchronicinpatient，thereRaRetotal17420people，amongwho8416women，themedianexpenseis7968．00yuan，900

8、4men,themedianexpenseis9822．50yuan；thereare2372peoplelessthan45yearsold，themedianexpenseis7203．50yuan，4416peoplebetween45and59yearsold，themedianexpenseis8248．50yuan，10632peopleolderthan60，themedianexpenseis9529．00yuan；ther