某老年医院2006～2011年住院费用变化趋势及对策分析  

Analysis on the Trends and Countermersures of Hospitalization Expenses of Some Geriatric Hospitalfrom 2006 to 2011

作　　者：王福影[1] 熊亚晴[1] 王均琴[2] 曹熙春[1] 秦宇[1] 

机构地区：[1]江苏省老年医院,江苏南京210024 [2]南京中医药大学,江苏南京210046

出　　处：《医学信息》2012年第12期136-138,共3页Journal of Medical Information

摘　　要：目的对住院患者医疗费用的构成、变化趋势等进行分析，为减轻患者医药费用负担提供政策建议。方法收集某省老年医院2006～2011年出院患者的医疗费用及相关信息，采用描述性分析方法等进行分析。结果患者平均住院天数和药费占住院费用比重（药占比）呈下降趋势；而患者次均住院费用绝对值呈逐年上升趋势，其中次均药费、检查费、治疗费呈明显上升趋势。结论住院患者医药费用负担逐年加重。建议提高老年人医疗保障水平，降低老年患者自付费用比例；制定分年龄段、分类型的单病种临床路径管理模式及加强康复养老体系建设。Objective To analyse the compositions and trends of hospitalization expenses and provide policy recommendations for reducing the burden of patients. Methods A collection of hospitalization expenses and related information of geriatric hospital in some province from 2006 to 201 l,using descriptive analysis. Results The average length of stay （ALOS） in hospital and drug costs accounted for the proportion of hospitalization expenses showed a downward trend. However,the average hospitalization expenses showed an upward trend year by year.The drug fees,examination fees and costs of treatment were increased significantly. Conclusion The hospitalization expenses increased year by year.Suggestions of improving the elderly medical security level, reducing the proportion of elderly patients with out-of-packet costs, developing a clinical pathway management mode according to the classification of disease and are of the patients, further strenzthenin,, the system construction of rehabilitation nursin~ were nut forward of.

关 键 词：住院医疗费用 变动趋势 对策 

分 类 号：R197.1[医药卫生—卫生事业管理]