肿瘤专科医院出院病人医药费用构成及其变化分析  

An Analysis on the Composition and its Changes of In-patient Medical Expenses in a Cancer Hospital

作　　者：路平[1] 周守君[1] 季花[1] 顾慧[1] 任凯[1] 林海涛[1] 丁晔[1] 尹园[1] 徐张燕[1] 

机构地区：[1]江苏省肿瘤医院,南京市210009

出　　处：《江苏卫生事业管理》2016年第3期92-94,共3页Jiangsu Health System Management

基　　金：江苏省预防医学基金(Y2013055);江苏省肿瘤医院科研基金(ZM201201)

摘　　要：目的研究医疗卫生政策,特别是"以药养医"体制对医疗收费及其构成等医院行为的影响,为当前的公立医院改革提供参考。方法抽取某三甲肿瘤专科医院2005年至2011年全部出院病例进行医药费用、费用构成和构成变化趋势分析。结果 7年中住院病人平均医药费用19 283.9元/人次;2005年至2011年累计增长28.2%,扣除物价上涨因素累计增长7.2%。特别是药费和治疗费的构成比波动较大,两者呈完全相反的变化。结论医疗卫生政策性的干预对医药费用控制的效果极其明显,但又容易受到多方面因素的影响。公立医院改革需要破除"以药养医"机制,肿瘤专科医院更有必要克服对药物过度依赖的弱点。Objective： To study influence of the health policies,especially the system of ＂ subsidizing medical services with drug sales＂,on hospital behaviors such as medical charges and their composition ratio,in order to provide reference for the current reform of public hospitals. Method： The medical charges,their composition and the changing trend of all discharged patients from 2005 to 2011 in a tertiary cancer hospital were analyzed. Result： The average of total medical charges was 19283. 9 yuan per discharged patient in the seven years,and it accumulatively increased by 28. 2% from 2005 to 2014,which actually increased by 7. 2% when the ingredient of inflation was deducted. The composition of drug and treatment expenses showed a specially big fluctuation,with completely opposite changes. Conclusion： The health policies have significant effects on controlling medical expenses,which at the same time,could be influenced by a lot of other factors. The ＂ subsidizing medical services with drug sales＂ system should be eradicated in the reform of public hospitals,and it is necessary for cancer special hospitals to get rid of the excessive dependence on drugs charges.

关 键 词：医药费用 构成比 肿瘤 住院病人 医药卫生体制改革 

分 类 号：R197.1[医药卫生—卫生事业管理]