Analysis on the medical expenses structure of inpatients participating in social health insurance

Objective:To explore the variation tendency of medical expenses structure of inpatients participating in medical insurance,and find major items which affect variation.Methods:Degree of structure variation(DSV)was used to analyze the structure variation.Results:The total medical expenses were increasing year by year and focused on ten departments.The total DSV was 14.55%.The check expenses and drug expenses had the highest contribution rate of DSV.The check expenses changed in positive direction while drug expenses in negative direction.Conclusions:The check expenses and drug expenses are main items which contribute to expenses structure variation.The medical expenses couldn't reflect the value of health workers.In the future,we must pay attention to restrict the overuse of the medical devices,determine the price of health service more reasonably as well as deepen the reform of social health insurance.