医药价格改革对公立医院住院费用影响的效果分析  

Analysis on the Effects of Drug Price Reform of Hospitalization Expenses in Public Hospitals

作　　者：刘伟强[1] 吕大兵[2] 

机构地区：[1]无锡市第二人民医院,江苏省无锡市214000 [2]苏州大学公共卫生学院,江苏省苏州市215006

出　　处：《现代医院管理》2017年第4期62-65,共4页Modern Hospital Management

摘　　要：目的分析医药价格改革对公立医院住院费用的影响,为深入改革提供依据。方法收集无锡市某市级公立医院医药价格改革前后住院费用数据,比较人均费用变化情况。结果人均药费、检查费、检验费和耗材费有不同程度下降,人均药费降幅达24.1%;人均护理费和治疗费增长显著,增幅达188.3%和37.6%;平均住院日、人均住院费、人均自费略有下降。结论医药价格改革初有成效,医疗服务价格构成得到初步调整,既在一定程度上体现了医务人员的技术劳务价值,又没有加重患者的负担。Objective： To analyze the effects of drug price reform on hospitalization expenses and provide basis for deepening the reform. Method： The authors collected data on hospitalization expenses before and after the reform and the average expense changes for patients. Result： The average expenses for drugs, examinations, testing and consumable items decrease at different extent. The average drug expense reduces by 24. 1% while the average expenses for nursing and treatment grow by 188. 3% and 37. 6%. The average hospitalization days,hospitalization fees and the self-paid expenses reduce slightly. Conclusion： The primary achievement in the reform of drug prices is obtained, and prices for medical service are adjusted primarily,which embodies the value of technical work of medical workers and that does not aggravate patients＇ burden.

关 键 词：医药价格改革 住院费用 效果分析 

分 类 号：R197[医药卫生—卫生事业管理]