中文摘要：

目的比较医保与非医保慢性病患者住院费用，为建立合理的医疗费用控制机制提供参考。方法运用统计描述和非参数检验方法分析医保与非医保慢性病患者的住院费用及构成。结果2008—2011年医保与非医保慢性病患者住院费用均呈上升趋势，平均增长速度分别为9．35％和8．26％，医保患者住院总费用中位数（7725．97元）高于非医保患者（6674．94元）。药品费4142．07元（占53．61％）和检查费2415．20元（占31．26％）在住院总费用中所占比重较大。结论医保患者的住院费用仍高于非医保患者，并且住院费用的增幅高于非医保患者。因此。从控制供需双方道德风险入手，推进医疗保险费用支付方式改革是控制慢性病医疗费用不合理增长的必然路径选择。

英文摘要：

Objective To investigate the expenses of inpatients with chronic diseases who were under the medical insurance or not under the medical insurance so as provide a reference for establishing a reasonable health care cost control sys- tem. Methods The descriptive analysis and Two - Sample Kolmogorov - Smirnov test were applied to analyze the insured and un- insured inpatient expenses. Results The insured and uninsured inpatient expenses grew year by year from 2008 to 2011, the average growth rate was 9. 35% and 8.26% respectively. The median of the insured inpatient expenses was RMB 7 725.97 yuan, which was more than RMB 6 674. 94 yuan of the uninsured inpatient. Medicine expenses was RMB 4 142. 07 yuan （53.61%） and examination expenses RMB 2 415.20 yuan （31.26%）, accounting for a larger proportion in the hospitalization expen- ses. Conclusion The hospitalization expense of the insured patients is still higher than that of the uninsured patients, and the growing rate is also higher. So to promote the medical insurance expense payment reform by controlling both the supply and the demand moral risks is an inevitable choice to control the unreasonable growth of medical expenses for chronic diseases