结构变动度在住院费用构成变动分析中的应用  

The application of composition change degree in the analysis of hospitalization expense composition change

作　　者：殷炳彩 董秀芳 

机构地区：[1]白山市妇幼保健院,吉林省白山市134300 [2]白山市传染病医院

出　　处：《中国医院统计》2011年第4期301-304,共4页Chinese Journal of Hospital Statistics

摘　　要：目的 探讨住院费用构成变动,防止人均住院费用过快增长.方法采用结构变动度和环比增长速度指标,分析6年来费用构成变动的情况.结果费用构成变动比较合理,诊疗费、手术费是引起住院费用结构变动上升的主要费用项目,2者的累积贡献率达到45.2%,护理费结构变动增幅较慢,贡献率仅为2.5%,说明在体现医生技术服务价值的同时,也应适当提高护理人员的技术服务价值;床位费、检查费、其他费是引起住院费用结构变动下降的主要费用项目,3者的累积贡献率达到47.6%,说明我院优化了收费结构,增强了管理意识.结论我院人均住院费用呈逐年缓慢增长趋势,与当地的经济发展水平相适应,优化了收费结构,体现了医院＂以病人为中心、提高治疗含金量＂的服务宗旨.Objective To explore hospitalization expenses composition change to prevent fast growth of hospitalization expenses per capita. Methods With composition change degree and growth index, expense composition changes of six years were analysed. Results The expense changes were reasonable, diagnosis and treatment fee and operation fee were the main ex- penses causing hospitalization expense composition change, with the accumulation contribution ratio up to 45.2%. While the nursing fees grew slowly, with the contribution rate only 2.5%. This shows that we should value the doctors service, as well as that of the nurses. The bed fee, the examination fee, and other fee are the items causing the decline of hospitalization expense composition change, with the accumulation contribution rate 47.6% , showing the expense composition optimized and the man- agement consciousness. Conclusion Our hospital expenses per capita are growing slowly year by year in accordance with the lo- cal economic development, with the expense composition optimized and with the service aim of patient-orientation and treatment improvement reflected.

关 键 词：结构变动度 结构变动贡献率 住院费用 

分 类 号：R197.322[医药卫生—卫生事业管理]