基于结构变动度的门诊医疗费用结构研究  

Analysis on Outpatient Medical Expenses Structure Based on Degree of Structure Variation

作　　者：杨婷[1] 王玉贵[1] 杨波[2] 杨丹[2] 

机构地区：[1]湖北医药学院附属十堰市太和医院 [2]湖北医药学院附属十堰市人民医院

出　　处：《中国病案》2010年第12期27-28,共2页Chinese Medical Record

摘　　要：目的运用结构变动度分析门诊医疗费用结构,为门诊医疗费用结构调整、有效控制医疗费用提供理论依据。方法运用结构变动值、结构变动度和结构变动贡献率等评价指标,分析某三级医院5年中门诊医疗费用的变动情况。结果 2005年-2006年、2007年-2008年门诊医疗费用结构变动较其它两个区间剧烈;2006年-2007年变动振幅最小、2008年-2009年变动幅度位居第三。2005年-2009年费用结构变动度为8.393%,年均结构变动度2.098%。其中,西药费、中成药费、检查费、治疗费是影响费用变动的主要项目,四项累计贡献率为76.135%。结论采用结构变动度分析门诊医疗费用结构,能够为了解医疗费用结构的变动情况,逐步实现医疗费用结构定量科学管理提供新的理论方法。Objective To analyze outpatient medical expenses structure with degree of structure variation in order to provide theoretical evidence for structure adjustment and effective control of medical expenses.Methods Variation of outpatient medical expenses of a three-level hospital in the past five years was analyzed with values of structure variation,degree of structure variation and contribution rate of structure variation.Results The variation of outpatient medical expenses structure in 2005-2006 and 20072008 was larger compared with the other two intervals,with smallest variation in 2006-2007,and the variation in 2008-2009 ranked the third.The variation between 2005 and 2009 was 8.393%,with an average annual variation of 2.098%.Among them,the western medicine expenses,Chinese medicine expenses,examination expenses and treatment expenses were dominate items,with cumulative contribution of 76.135%.Conclusion Through analyzing outpatient medical expenses structure with degree of structure variation,the variation of structure was known,providing new measures for phased scientific management of medical expenses structure.

关 键 词：结构变动度 门诊医疗费用 结构变动贡献率 

分 类 号：R197.3[医药卫生—卫生事业管理]