摘要
目的:回顾上海市杨浦区2011—2012医疗保险年度部分当面审核人员的情况,初步分析其违规的原因。方法:对179例门诊当面审核人员的情况进行回顾性分析。结果:参保人因素是导致违规的主要原因(P<0.05),波立维等心脑血管病类药物是导致违规的主要药物(P<0.05)。结论:医疗保险违规问题仍较为严重,医疗保险监督和慢性非传染性疾病的防治任重而道远。
Objective： To review general circumstance of the present investigation staffs of Yangpu District, Shanghai in 2011-2012 medical insurance year, and make a preliminary analysis of the reason of deregulation. Methods： Conducting a retrospective analysis of 179 cases of outpatient present investigation staffs. Results： Factor of the insured person is the main reason causing the deregulation （P〈 0.05）. Plavix and other cardiovascular and cerebrovascular drugs lead to the deregulation （P〈0.05）. Conclusion：Situation of medical insurance deregulation is still very serious. Supervision, and the prevention and treatment of chronic non-infective diseases have a long way to go.
出处
《中国卫生经济》
北大核心
2013年第1期47-48,共2页
Chinese Health Economics
关键词
医疗保险
审核
医疗保险违规
medical insurance
investigation
medical insurance deregulation
