Cluster Analysis of the Hospitalization Settlement Expenses of Military's Parents and Their Spouses' Parents Based on the Im-plementation of the New Medical Treatment Security Policy

ZHU Liqiang; HE Jiao; WANG Dongmei; WANG Xingcun; ZHANG Guangfeng

doi:10.13730/j.issn.2097-2148.2025.10.015

Abstract：Objective To investigate the effect of the Interim Regulations on the Security Policy of Medical Treat-ment for Military Personnel and Military Related Personnel on the hospitalization of the parents of military personnel and their spouses.Methods The K-Means method was used to cluster the classified settlement expenses of military's parents and their spouses'parents.Results The military insurance payment accounted for 10.52％of the total hospitalization cost,the median proportion of military support overall payment was 8.67％,with an average of 610 yuan per person for military support overall payment.The number of hospitalizations in 2023 has significantly increased compared to 2022,but there was no statistically significant difference in the proportion of military insurance payment for patients between the two years(P＞0.05).The inpatients were clustered into 4 groups:the first category consisted of 33 patients,with the highest proportion of other subsidies,and the lowest proportion of individual self-payment and military insurance payment,defined as other subsidies inpatients;the second category(n=123)was defined as the key population of mili-tary medical insurance payment,with the highest proportion of hospitalization expenses paid by the military medical insur-ance and the lowest proportion of other subsidies;category 3(n=177),the proportion of hospitalization expenses paid by basic medical insurance was the highest,defined as patients paid by basic medical insurance;the fourth category consisted of 31 patients,with the highest proportion of individual self-payment and the lowest proportion of reimbursement by basic medical insurance,so they were defined as indi-vidual self-payment patients.There were statistically significant differences in age,gender,number of diagno-ses,proportion of operations,length of stay,total hospi-talization expenses and classified expenses of medical insurance settlement among the 4 types of patients(all P＜0.05).Conclusion The implementation of the Interim Regulations on the Security Policy of Medical Treatment for Military Per-sonnel and Military Related Personnel reduces the financial burden of military's parents and their spouses' parents,the in-patients with resident medical insurance who seek medical treatment in other places are the key population for the overall payment of military insurance.