实施药品零差价前后医疗费用比较  

Effects of Zero Mark-up Policy about Drug Sales on Hospitalization Costs

作　　者：朱萍 顾丽华 史晓凤 刘力嘉[3] 刘波 

机构地区：[1]南京医科大学第一附属医院医务处,南京210029 [2]南京医科大学第一附属医院病案室,南京210029 [3]南京医科大学第一附属医院普外科,南京210029 [4]南京医科大学第一附属医院感染管理办公室,南京210029

出　　处：《解放军医院管理杂志》2016年第11期1016-1017,1023,共3页Hospital Administration Journal of Chinese People's Liberation Army

摘　　要：目的研究在药品零差价基础上综合医药价格改革前后,实际医疗费用的差异性。方法选取外科科室腹股沟疝行疝修补术患者,以1∶1配对方式进行病例对照研究,根据医改时间设立医改前组和医改后组,比较两组患者医疗费用的差异性。结果药品零差价医改后疝修补术患者住院总费用较医改前有所升高;总费用中的床位费、护理费、诊疗费、手术费等医改后较医改前提高;药品费、检验放射费等医改后较医改前降低;患者实际支付的医疗费用未见明显提高。结论实行以药品零差价为基础的综合医药价格改革后,未明显增加疝修补术患者的实际医疗费用,同时体现医务人员技术和服务的价值。Objective To explore the differences of real medical costs before and after comprehensive medical and pharmaceutical price reform. Methods The patients with inguinal hernia were chosen and studied by 1：1 matched case -control research. The patients were divided into two groups including group before medical reform and group after medical reform. Costs were compared between the two groups. Results Among the total medical costs of patients with inguinal hernia after medical reform, bed costs, care costs, diagnostic and therapeutic costs and operation costs rose compared to those before medical reform. But drug costs and costs of detection inclu- ding lab tests and radiological examination descended after medical reform. The actual costs of patients did not grow significantly. Conclusion Comprehensive medical and pharmaceutical price reform did not obviously increase costs of patients with inguinal hernia, and it reflected the technical value of health - care workers at the same time.

关 键 词：医改 零差价政策 病例对照 疝修补 

分 类 号：R197.32[医药卫生—卫生事业管理]