某医院医疗费用增高的原因分析  

Analysis on the causes of high medical expenses in a certain hospital

作　　者：许蓓华[1] 杨敏[1] 奚益群[1] 

机构地区：[1]上海中医药大学附属曙光医院,上海200021

出　　处：《上海预防医学》2001年第6期253-254,共2页Shanghai Journal of Preventive Medicine

摘　　要：[目的 ]　分析医疗费用增高的主要原因。 [方法 ]　随机抽样 10 0例较高医疗费用 (超过 1万元 )的住院病例进行回顾性调查 ,对被调查病例的住院日、住院费、药品费、手术费、治疗费、检查费等进行统计分析 ,并与全院住院病例平均费用进行比较。 [结果 ]　被调查病例的平均住院日和手术费都明显高于全院住院病例 ;被调查病例的平均药品费高于全院住院病例。 [结论 ]　医疗费用增高的主要原因是住院日延长、药品费用高和收治指征不严格等。Objective] To analyze the chief causes of high medical expenses. [Methods] 100 cases whose medical expenses were over RMB 10000 yuan, were randomly chosen for retrospective study. The number of days of hospitalization, fees for hospitalization, drugs, operation, examination etc. were analyzed and compared with those of the average of all hospitalized patients. [Results] The average number of days of hospitalization and fees of operation were obviously higher than those of the average of the total hospitalized patients. The average fees of drugs was also higher than that of the total hospitalized patients. [Conclusion] The chief causes of higher medial expenses were long hospitalized period, high medical fees and loose indication for admission and treatment.

关 键 词：医疗费用 住院天数 药品费 医疗保险 

分 类 号：R197.3[医药卫生—卫生事业管理]