PHÂN TÍCH CHI PHÍ BẢO HIỂM Y TẾ ĐIỀU TRỊ NỘI TRÚ BỆNH TĂNG HUYẾT ÁP TẠI BỆNH VIỆN TỈNH KIÊN GIANG BA NĂM, 2018 ĐẾN 2020

Abstract

A reprospective study using the health insurance database of Kien Giang province General Hospital in 3 years 2018, 2019 and 2020, with a total of 4089 cases of hypertensive patients. Descriptive statistics and analysis of covariates (ANCOVA) were used. The results show that: (1) The health insurance groups differ in spending levels with statistical significance (p<0.05). The lowest level of expenditure for the same case of hypertension belongs to the group of subjects that are issued a card by the social insurance organization - pensioners and elderly people ranging from 0.32 to 0.55 million VND, much lower than other groups. from 2.19 to 2.78 million VND. The highest spending groups are voluntary health insurance for households and health insurance for working people, ranging from 2.38 to 2.78 million VND. When using ANCOVA test, it was found that there was a difference in spending levels between groups of health insurance. Spending levels for male and female groups through ANCOVA analysis adjusted for age, number of days of staying and health insurance groups found a statistically significant difference in 2 years 2028 and 2019. Female cases was paid always significantly lower than male one (p < 0.05). However, in 2020, the difference was not found statistically significant (p>0.05). Conclusion: Different groups of health insurance cards have the same hypertension but are paid differently. Spending more on male patients than on female patients.