2004年至2007年北京市某区医药费用变化情况分析  

Analysis for the changes of medical expenses of a district in Beijing from 2004 to 2007

作　　者：周海清[1] 彭迎春[1] 翟永梅[2] 高艳青[2] 任蕊[2] 常文虎[1] 

机构地区：[1]首都医科大学卫生管理与教育学院,北京100069 [2]北京市大兴区卫生局

出　　处：《中华医院管理杂志》2009年第11期752-754,共3页Chinese Journal of Hospital Administration

摘　　要：目的探讨医疗机构医药费用变化的原因，为控制医疗费用提供参考。方法采用时间序列分析法，分析北京市某区2004年至2007年医药费用的动态变化情况，并按医院等级进行分层比较。结果2004年至2007年，26所医院病人门诊人均费用由72．73元降至70．09元，定基比3．64％；住院人均费用由2690．49元增至3044．35元，定基比13．15％；药品收入占总收入比重由40．56％降至40．03％。结论通过规范医疗收费、控制药品费用比例，完善各级医院服务，积极开展健康教育和健康促进等，可以合理控制医疗费用的快速增长。Objective Probing into the changes of medical expenses by medical institutions for references to harnessing such expenses. Methods By means of the time sequence method, analyzing the dynamic changes of medical expenses of district of Beijing from 2004 to 2007, with a comparison for hospitals by levels. Results The study found that between 2004 and 2007, the medical expense per person of outpatients in 26 hospitals fell from 72.73 yuan to 70. 09, with a relative ratio with a fixed base being -3. 64% the hospitalization expense per capital rose to 3044. 35 yuan, with the same ratio being 13. 15%; the percentage of pharmaceuticals sales among total income fell from 40. 56% to 40. 03%. Conclusions It is feasible to harness the rapid growth of medical expenses by means of normalizing medical charges, restricting the percentage of pharmaceuticals among total expense, improving hospital services at all levels, and promoting health education and health itself.

关 键 词：医疗机构 医药费用 变化 控制 

分 类 号：R197[医药卫生—卫生事业管理]