主成分分析法评价医疗机构医保费用管理

摘要

Objectives:To make scientific indicator weight to evaluate the medical insurance costs management in medical institutions objectively.Methods:Data of medical insurance cost in contracted general secondary hospital in Beijing from 2010 to 2012 were collected.8 core assessment indictors were given a principal components analysis to find the principal components reflecting medical insurance management and give explanations.Results:Three principal components were extracted named as care amount,average cost control and out of pocket cost respectively.It can objectively assess medical insurance management of medical institutes.Conclusions:The different weight in each indictors can better guide the medical insurance management of medical institutes.%目的:制定科学、合理的指标权重对医疗机构医保费用管理进行客观评价.方法:汇总2010-2012年北京市二级综合性定点医疗机构数据,对目前评价采用的8项核心指标进行主成分分析,提取能够代表医院医保费用管理水平的主成分并解释.结果:共提取了3个主成分,分别作为医疗机构的服务量指标、次均费用控制指标和医保外费用指标,能够较好地对医疗机构医保费用管理水平进行考核.结论:各个指标权重不同,可以较好地体现医保管理部门对医疗机构医保费用管理的方向指引.