PHÂN TÍCH CƠ CẤU CHI PHÍ KHÁM CHỮA BỆNH BẢO HIỂM Y TẾ CHI TRẢ TẠI BỆNH VIỆN ĐA KHOA TỈNH LẠNG SƠN NĂM 2019

Abstract

Background and Objectives: Analyse of healthcare expenditure covered by the insurance within a hospital can help the management agency in managing the health insurance funds, finding existing problems in medical examination and treatment. This study aims to describe the expenditure structure by high-spending disease groups to build management plans. Methods: 35239 payment slips of patients at Lang Son General Hospital in 2019 which stored at the provincial social insurance agengy were collected. Cross sectional study design was used. Results: 35239 patients were divided into 21 disease groups. The proportion of patients indicated to medical tests was 98,3%. The highest cost was hospital bed, accounted for 33,6%, the costs for surgery and procedures accounted for 23,7%, the costs for medicine and infusion accounted for 17,6%. The average cost per course per patient was 2,81 million VND. The three antibiotics with the highest cost were the 3^rd generation cephalosporin (ceftizoxime, ceftriaxone) and 4^th generation (cefepime).