某医院免费患者住院诊疗费用与效率分析  

Analysis of Medical Treatment Fees and Work Efficiency for Free-Charge Patients

作　　者：王燕燕[1] 李金琴[1] 李淮涌[1] 

机构地区：[1]海军总医院经济管理科,北京100037

出　　处：《海军总医院学报》2008年第4期219-221,共3页Journal of Naval General Hospital of PLA

摘　　要：目的通过收集某医院2001～2007年该院为免费患者服务的工作效率及患者诊疗的费用报表数据，分析效率、费用变化趋势、费用消费的人群分布、费用结构，从中了解医疗费用增长的原因。方法用治愈、好转率、床位周转率、床位使用率、术前住院日、人均费用、日均费用、人均住院日、药费比等指标，使用秩和比排序分析7年的综合效率变化趋势。结果免费住院患者工作效率没有明显提高，但耗费却快速增长。按人群使用的金额分析，A组人群的花费占据首位。按费用结构显示，在各项费用中药品增长为最快。结论加强免费医疗费用管理，制定合理用药规范，逐步实施病种管理，改革服务评价内容，对于节约费用、提高效率具有重要意义。Objective To get the reasons lyzing efficiency, fees changing trend, fees in the data on work efficien port,collected from one cy ho of the increased medical treatment fees the patients distribution, fees structure of service for free-charge patients and medical treatment by anathrough fees respital during 2001 to 2007. Methods Cure rate, recovery rate, average of hospital beds, utilization ratio of bed, preoperation time, expenses per capita, average hospital expenses per day, average hospital time, drug cost ratio were used to analyze the trend of general efficiency by rank sum ratio during 2001 to 2007. Results It shows that the work efficiency of service for free-charge patients was not obviously improved, but the fees from free-charge patients increased really fast. In the different section analysis of users, the group A of users took the top place of fees. In the structure of fees,the increasing speed of medicine fees was the fast. Conclusion Improving the management of free-charge medical treatment services,making reasonable standard for medicine usage,enhancing management of sickness categories step by step and reforming the service feedback content make significant sense for reducing the fees and increasing the efficiency.

关 键 词：医院 免费 分析 

分 类 号：R192.3[医药卫生—卫生事业管理]