公立医院医疗服务评价指标可比性的探讨——以住院均次费用为例  

Discussion on the Comparability of Medical Service Evaluation Indicators in Public Hospitals——Taking the Average Cost of Hospitalization as An Example

作　　者：吴丽[1] 邵琼[1] 卢汉体 洪雪文[1] 季聪华[1] WU Li;SHAO Qiong;LU Han-ti;HONG Xue-wen;JI Cong-hua(Zhejiang Provincial Hospital of Traditional Chinese Medicine,Hangzhou Zhejiang 310006,China)

机构地区：[1]浙江省中医院,浙江杭州310006

出　　处：《卫生经济研究》2018年第12期58-60,共3页

基　　金：浙江省中医药重点研究项目(2017ZZ007)

摘　　要：选取浙江省两家综合性三甲医院2017年出院患者的病案首页数据,以两院出院患者构成作为"公共标准",采用直接标准化法进行两院之间住院均次费用的比较。结果显示,2017年,甲医院患者住院均次费用比乙院高2950.7元;经病种标准化后,甲院住院均次费用仅比乙医院高244.7元。公立医院医疗服务评价指标存在可比性问题,经标准化后的医疗服务评价指标可以保证医院之间指标比较的客观性,对公立医院医疗服务评价具有积极意义。The data of the medical records of the patients discharged from the three comprehensive tertiary hospitals in Zhejiang Province in2017were selected.The composition of the patients discharged from the two hospitals was taken as the“public standard”,and the direct standardization method was used to compare the hospitalization costs between the two hospitals.The results showed that in2017,The average hospitalization cost of hospital A was2950.7yuan higher than hospital B.After standardization of disease types,The average cost of hospitalization for hospital A was only244.7yuan higher than that of hospital B.There were comparability problems in the evaluation index of medical services in public hospitals.The standardized medical service evaluation indicators can ensure the objectivity of the comparison between hospitals and have positive significance for the evaluation of medical services in public hospitals.

关 键 词：医疗服务 可比性 均次费用 标准化法 

分 类 号：R197[医药卫生—卫生事业管理]