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《福州地區(qū)肺癌患病率與發(fā)病率基于醫(yī)療保險數(shù)據(jù)實證分析》由會員上傳分享,免費在線閱讀,更多相關(guān)內(nèi)容在教育資源-天天文庫。
1、-4期:專題分析基于醫(yī)療保險數(shù)據(jù)的福州地區(qū)肺癌患病率與發(fā)病率實證分析康洽福1高錦娟2胡世明3(1福建省醫(yī)療保險管理中心鐵路分中心福州350013,2福建中醫(yī)藥大學(xué)附屬第二人民醫(yī)院福州350003,3福建江夏學(xué)院工商管理學(xué)院福州350108)【摘要】目的:實證研究福州地區(qū)參保人員肺癌患病率與發(fā)病率,為精細測算基金收支平衡情況及醫(yī)療保障政策調(diào)整提供新的思路與參考。方法:基于福建省省本級、福州市醫(yī)療保險肺癌參保人員2014年度就醫(yī)數(shù)據(jù),運用SPSS軟件進行統(tǒng)計與計量分析。結(jié)果:2014年度福州地區(qū)醫(yī)保參保人員患病率、發(fā)病率
2、分別為104.77/10萬人、48.49/10萬人;不同醫(yī)保待遇人員患病率、發(fā)病率有明顯區(qū)別;患病率與發(fā)病率呈線性正相關(guān)(P<0.001)。結(jié)論:福州地區(qū)參保人員肺癌發(fā)病率較高,醫(yī)療保險應(yīng)根據(jù)屬地疾病譜變化制定有針對性的保障政策;基于醫(yī)保消費數(shù)據(jù)的分析方法能消除因醫(yī)保待遇不同造成的患病率、發(fā)病率誤差;基于基本醫(yī)療保險大數(shù)據(jù)優(yōu)勢的分析方法準確、簡單、方便,值得在醫(yī)療保險基金收支平衡測算及大病保險精算中推廣。【關(guān)鍵詞】患病率;發(fā)病率;醫(yī)療保險;肺癌AnalysisBasedOnTheMedicareDataOnThePr
3、evalenceAndIncidenceOfLungCancerInFuzhouKangQiafu1,GaoJinjuan2,HuShiming3(1RailwayBranchofFujianProvinceMedicalInsuranceManagementCenter,Fuzhou,350013,2TheSecondPeople’sHospitalofFujianProvince,Fuzhou,350003,3SchoolofBusinessAdministration,FujianJiangxiaUnivers
4、ityFuzhou,350108)【Abstract】Objective:TostudytheprevalencerateandincidencerateoflungcancerinFuzhouarea,andprovideanewwayofthinkingand.---referencefortheprecisemeasurementofthefundbalanceofpaymentsandtheadjustmentofmedicalinsurancepolicy.Methods:Statisticalandeco
5、nometricanalysisthemedicaldataofFujianProvince,theprovinciallevel,andFuzhouCityMedicalInsurancelungcancerinsuredfortheyear2014bySPSS.Results:TheinsuredofFuzhouareaprevalenceandincidencerateswere104.77/10millionpeople,48.49/10millionpeople;Differentmedicaltreatm
6、entpersonnelprevalenceandincidenceratesaresignificantlydifferent;prevalencerateandtheincidenceratehasalinearpositivecorrelation(P<0.001).Conclusion:LungcancerincidencerateinFuzhouareaishigh,themedicalinsuranceshouldbeaccordingtotheterritorialdiseasespectrumchan
7、gestomakesecuritypolicy;AnalysismethodbasedonMedicaredatatoeliminatetheerroroftheprevalenceandincidencecausedbytheMedicalInsurance;AnalysismethodbasedonMedicaredataisaccurate,simpleandconvenient,itisworthpopularizinginthemedicalinsurancefundbalancecalculationan
8、dseriousillnessinsuranceactuarial.【Keywords】PrevalenceRate;Morbidity;MedicalInsurance;LungCancer[收稿日期]2015-12-29[作者簡介]康洽福,福建省醫(yī)療保險管理中心鐵路分中心主任藥師,主要研究方向:基本醫(yī)療保險政策研究、合理用藥與醫(yī)療監(jiān)管。*福