广西不同级别医院住院患者费用分析  

Study on hospital expenditure and influence factors of different levels of hospitals in Guangxi province

作　　者：吕炜 王勇 黄丽华[3] 范玉铮[4] 张杰 李彬 杨积军 李俭 

机构地区：[1]广西壮族自治区卫生计生委信息中心,广西南宁530021 [2]广西壮族自治区卫生计生委办公室,广西南宁530021 [3]广西壮族自治区疾病预防控制中心慢病所,广西南宁530028 [4]广西壮族自治区疾病预防控制中心应急与信息管理科,广西南宁530028

出　　处：《中国医药科学》2015年第3期196-199,共4页China Medicine And Pharmacy

基　　金：广西医疗卫生重点科研课题(Z2012076)

摘　　要：目的通过分析2011年广西省、市、县属综合医院患者的住院费用特征,了解各级别医院住院费用的影响因素,为政府和卫生部门控制医院医疗费用过快增长、推进新医改进程、解决群众"看病难、看病贵"问题提供数据支撑和决策依据。方法收集2011年广西省、市、县属综合医院住院病例1 674 359例,采用SPSS19.0对各级别医院的住院费用基本特征进行统计分析。结果各级别医院的平均住院费用:省属(10994.45元)>市属(7124.44元)>县属(3355.56元);省、市属医院以慢性非传染性疾病的病例为主,县属医院以产科病、围生期病、损伤和中毒的病例为主;各级别医院的住院费用中,药费的构成比最高:省属为37.66%、市属为38.77%、县属为36.29%。三级别医院的住院费用随住院天数的增加而增加(P<0.001)。结论根据医院级别合理配置医疗资源,加强基层卫生服务建设;合理控制药品费用;加快改革医疗支付方式,制定合理费用标准等是控制广西综合医院住院医疗费用的关键。Objective This article was to focus on the constitution and characteristics of hospitalization expense among all patients of different levels of hospitals of Guangxi in 2011, in order to provide government and health departments with basis to control unreasonable increase of medical costs, to solve the problem of inadequate and overly expensive medical services, to promote the new medical reform process. Methods Information of 1 674 359 cases of hospitalized patients from different levels of hospitals in Guangxi was collected and SPSS19.0 statistics software package was used to analyze the structure of medical costs and main contributors related to medical costs. Results Through analysis, we found that provincial hospitals’expenses （10994.45）〉municipal hospitals＇ expenses （7124.44）〉 county hospitals＇ expenses（3355.56）. Provincial hospitals and municipal hospitals had a higher proportion of chronic non-communicable diseases. The largest cost share was the drugs, the rate of drug： provincial hospital is 37.66%, municipal hospital is 38.77%, county hospital is 36.29%. Conclusion It is suggested that according to the different disease spectrum, making different disease prevention measures; to accelerate the establishment of system of disease control and prevention;to control the proportion of drugs consumables;to reform the mode of medical insurance payment are the key points of controlling hospitalization expense.

关 键 词：住院费用 不同级别医院 影响因素 费用构成 

分 类 号：R197.3[医药卫生—卫生事业管理]