北京市医药分开综合改革前后市属医院医疗收入结构变动度分析  

Analysis on the Medical Income Structure Change of Municipal Hospitals before and after the Comprehensive Reform of Beijing Medicine

作　　者：项楠[1] 满晓伟[1] 刘黎明 陈姝婧 程薇[1] Nan Xiang;Xiaowei Man;Liming Liu;Shujing Chen;Wei Cheng(Beijing University of Chinese Medicine, Beijing, 100029, China)

机构地区：[1]北京中医药大学,北京100029

出　　处：《亚洲临床医学杂志》2019年第2期10-12,共3页Asian Journal of Clinical Medicine

摘　　要：目的:分析、评价中国北京市医药分开综合改革前后市属医院医疗收入结构情况及其变动度分析,为公立医院综合改革进程提供依据。方法:应用结构变动度和结构变动贡献率,从门诊和住院收入角度分析北京市市属医院医疗收入结构变化情况。结果:医药分开综合改革后门急诊人次数呈下降趋势,但门诊次均收入为8.25%;门诊收入和住院收入中均为诊察收入和药品收入的结构变动贡献率最大;门诊收入结构变动度大于住院收入结构变动度。结论:北京医药分开综合改革后门诊和住院收入结构有一定的改善,药占比下降,医务人员技术劳务价值得到了体现。Objective:Analyze and evaluate the medical income structure and its change analysis of municipal hospitals before and after the comprehensive reform of Beijing Pharmaceuticals,and provide a basis for the comprehensive reform process of public hospitals.Methods:Applying the Degree of Structure Variation and Structural Change Contribution Rate,the changes of medical income structure in Beijing municipal hospitals were analyzed from the perspective of outpatient and hospital income.Results:The number of emergency doctors in the comprehensive reform of medicines showed a downward trend,but the average income of outpatients was 8.25%.The outpatient income and hospital income were the largest contribution to the structural changes in medical income and drug income;the change in outpatient income structure was greater than the hospital income.Conclusion:After the comprehensive reform of Beijing Medicine,the income structure of outpatient and inpatient hospitals has been improved,the proportion of medicines has decreased,and the value of medical staff’s technical labor has been reflected.

关 键 词：医疗收入 结构变动度 结构变动贡献率 

分 类 号：R197.322[医药卫生—卫生事业管理]