山西省2011年11地市住院费用均等化状况评析  

Assessment and analysis on the equalization of hospitalization costs in 11 city of Shanxi in 2011

作　　者：吴非 牛丽娜[2] 孟盼[3] 覃凯[3] 韩颖[3] 闫凤茹[3] 

机构地区：[1]山西省卫生与计划生育委员会信息中心,030013 [2]山西医科大学药学院 [3]山西医科大学管理学院

出　　处：《中国医院统计》2015年第4期254-257,共4页Chinese Journal of Hospital Statistics

基　　金：山西省软科学研究项目(2014041063-2);山西医科大学科技创新基金项目(01201325)

摘　　要：目的评价山西省各地市住院费用均等化状况，为促进山西省基本公共卫生服务逐步均等化提供理论依据，对如何有效控制医疗费用快速上涨提出对策建议。方法以山西省卫生厅信息管理中心提供的数据为依据，选取与山西省11地市居民住院费用相关的7个指标，使用Microsoft Excel建立数据库并进行数据分析。结果在对2011年山西省11地市的患者5类住院费分析中，太原市和阳泉市平均每出院者住院医疗费高于山西省平均水平，朔州市、忻州市、吕梁市等地市低于山西省平均水平；太原市、长治市、晋城市的平均每出院者手术费高于山西省平均水平，朔州市、忻州市低于山西省平均水平；太原市和大同市的平均每出院者床位费高于山西省平均水平，忻州市和吕梁市低于山西省平均水平。在2008—2011年山西省住院费用构成中药费占比约为43％，自2009年开始检查费构成比逐年升高，而治疗费和手术费构成比逐年降低。结论山西省11地市住院费用不均等，应采取有效措施促进城乡居民享有医疗费用均等化，以适应当前深化医药卫生体制改革的需要，从而提高基本公共卫生服务的公平性。Objective To evaluate the equalization of hospitalization cost in 11 city in Shanxi, to provide the theoretical basis for promoting the equalization of basic and public health services in steps, and to put forward suggestions on how to effec- tively control the rapid increase of medical expenses. Methods Based on the data provided by the Information Management Cen- ter of Health Department in Shanxi, 7 indicators related to the hospitalization costs of 11 cities of Shanxi were selected. Microsoft Excel was used for data analysis. Results In 5 types of hospitalization expenses of the 11 cities in Shanxi Province in 2011, the average medical cost was higher in Taiyuan and Yangquan than the average level of Shanxi and this cost was lower in Shuozhou, Xinzhou, Lvliang and other cities. The average operation cost per inpatient was higher in Taiyuan, Changzhi, Jincheng than the average level of Shanxi, but it was lower in Shuozhou and Xinzhou. The average hospital bed charge was higher in Taiyuan and Datong than the average level, but it was lower in Xinzhou and Lvliang. Medicine cost accounted for about 43% in the constitu- ents of the hospitalization expenses of Shanxi between 2008 and 2011, but the proportion of examination cost was increasing and treatment and operation cost were decreasing since 2009. Conclusion In general, the hospitalization cost is unequal among 11 cities in Shanxi. We should take effective measures to promote the equalization for rural and urban residents, therefore, to meet the current needs of deepening the reform of the health system, and to improve the fairness of the basic public health services.

关 键 词：山西省 住院费用 均等化 评价 

分 类 号：R197.322[医药卫生—卫生事业管理]