结构变动度在医院门诊及住院收入结构分析中的应用  

Degree of Structural Variation in Structure Analysis of Hospital Out-Patient and Inpatient Income

作　　者：唐艺荣[1] 

机构地区：[1]广西柳州医学高等专科学校第一附属医院,广西柳州545002

出　　处：《中国卫生质量管理》2013年第1期51-54,共4页Chinese Health Quality Management

摘　　要：目的探讨某三级医院实施新的《广西医疗服务价格》后医疗收入结构变动情况。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,分析医院2006～2011年门诊及住院收入结构变动趋势。结果年均门诊收入及住院收入结构变动度分别为1.485%及4.717%;检查收入、治疗收入、手术收入、其它收入是影响门诊收入结构变动的主要项目,4项累计贡献率为84.433%;药品收入、治疗收入、手术收入、化验收入是影响住院收入结构变动的主要项目,4项累计贡献率为77.406%。结论应对《广西医疗服务价格》实施后收入增长过快的项目实行有效控制。Abstract Objective To investigate the structure changes of medical income in a tertiary hospital after implementation of the new ＂ Guangxi Medical Service Price＂. Method Using evaluation index of structural variation value, degree of structural vari- abon, and contribution rate of structural variation to analyze structure variation trend on out - patient and in - patient income from 2906 to 2011. Result The average annual structural variation degrees for outpatient and inpatient income were 1. 485% and 4. 71.7%, respectively. The examination income, treatment income, surgery income, other income was the main item influencingoperation and laboratory income was the main item influencing the structural variation of inpatient, the cumulative contribution rate 77. 406. Conclusion Structural variation degree can be used to analyze outpatient and inpatient incomestructure in hospital, to effective control the charging items with excessive growth of medical income caused by the implementationof ＂ Guangxi Medical Service Price＂.

关 键 词：结构变动度 结构变动贡献率 门诊收入 住院收入 

分 类 号：R197.322[医药卫生—卫生事业管理]