基于灰色关联法的医院住院费用及结构变化的实证研究——以常州市和泰州市的城市公立医院改革为例  

An empirical study on hospitalization expenses and its structural changes based ongrey correlation analysis method: A case of the reform of urban public hospitals in Changzhou and Taizhou cities

作　　者：汤少梁 韩印雪 何光秀 TANG Shao-liang;HAN Yin-xue;HE Guang-xiu(School of Health Economics and Management, Nanjing University of Chinese Medicine, Nanjing Jiangsu 210023, China)

机构地区：[1]南京中医药大学卫生经济管理学院,江苏南京210023

出　　处：《中国卫生政策研究》2019年第7期36-41,共6页Chinese Journal of Health Policy

基　　金：国家自然科学基金(71673148);教育部人文社会科学研究规划基金(15YJA630060);江苏省社会科学基金(15GLB014).

摘　　要：目的:以常州市、泰州市为调研对象,了解江苏省城市公立医院综合改革对住院费用及其结构的影响,分析其中存在的问题并提出建议。方法:通过阅读、整理文献,运用灰色关联法、结构变动分析法对两市改革前后次均住院费用及其构成进行分析。结果:公立医院综合改革降低了两市公立医院次均住院费中药品费用及其所占比例,但药占比仍偏高。两市检验、耗材补医的现象显著。结论:需要进一步加强药占比的控制力度;规范服务性收费机制;完善公立医院评估考核机制。Objective: This paper objects to understand the impact of the comprehensive reform of urban public hospitals on hospitalization costs and its structure in Changzhou and Taizhou cities in Jiangsu Province, and analyzes the existing problems thereby putting forward some recommendations. Methods: Through reading and collating the literature, the grey correlation and structural change analysis methods were used to analyze the average hospitalization expenses and their composition before and after the Reform in the abovementioned two cities. Results: The comprehensive reform of public hospitals has a significant effect on the reduction of the cost of medicines and the proportion of the total hospitalization expenses in public hospitals located in Changzhou and Taizhou cities, but the proportion of medicines is still higher. The phenomenon of inspection and consumables supplementing medical services in the two cities is remarkable. Conclusion: It is necessary to further strengthen the control over the proportion of medicines;improve the control of service charges;and improve the evaluation and assessment mechanism of public hospitals.

关 键 词：灰色关联法 公立医院 住院费用 结构变化 

分 类 号：R197[医药卫生—卫生事业管理]