新疆某三甲医院患者住院费用构成变动分析  

Analysis of the changes in the composition of patients′hospitalization expenses in a tertiary hospital in Xinjiang

作　　者：朱艳花 鲁晓蕾 钱丽娟[1] 卢炳利 Zhu Yanhua;Lu Xiaolei;Qian Lijuan;Lu Bingli(Information Centre, Karamay Central Hospital, Karamay 834000, China)

机构地区：[1]克拉玛依市中心医院信息科,新疆克拉玛依834000

出　　处：《中国医院统计》2020年第4期335-338,共4页Chinese Journal of Hospital Statistics

基　　金：克拉玛依市创新人才工程科技项目(2017RC001A-09):按疾病诊断相关分组DRG支付基础系统的建立。

摘　　要：目的通过对某院2015—2019年住院患者费用构成变化趋势分析,为医疗机构合理控费管理提供有益参考。方法采用结构变动分析法,利用Excel 2007对数据进行统计分析。结果住院费用先上升后略有下降。其中药费和其他费用支出逐年减少;化验费、检查费及手术治疗费用呈逐年上升的趋势,检查费及手术治疗费至2018年后保持平稳;药品费及材料费整体呈负向变动,手术治疗费、护理费、检查费等费用项目均呈正向变动;药品费、手术治疗费、材料费对结构变动度的贡献率较大。结论医疗技术的发展,卫生材料价格、药品价格及医疗服务价格地调整都会影响医疗费用结构地变动,医疗管理部门应采用综合性管理措施加以管控,使医疗费用结构更趋于合理化。Objective To provide basis for reasonable cost control management of medical institutions by analyzing the change trend of patients′hospitalization expenses in a hospital from 2015 to 2019.Methods The structural change analysis method was adopted,and Excel 2007 was used to analyze the data.Results The hospitalization expenses first increased and then slightly decreased,among which the drug and other expenses decreased year by year;the laboratory expenses,inspection expenses and surgical treatment expenses increased year by year,and the latter two remained stable up to 2018;the drug expenses and material expenses changed in a negative direction,the expenses such as the inspection expenses all changed in a positive direction;the contribution rate of the drug expenses,surgical treatment expenses and material expenses was relatively large for structural variability.Conclusion The development of medical technology,the adjustment of the price of health material,the price of drugs and the price of medical services will all affect the change of the structure of medical expenses.The medical management department is supposed to adopt the comprehensive management measures to manage and control,so as to make the structure of medical expenses more inclined to rationalization.

关 键 词：住院费用 结构变动度 新疆 

分 类 号：R197.32[医药卫生—卫生事业管理]