药品零差率政策实施前后住院患者费用变化研究——以D市某三甲医院为例  

Study on the changes of inpatient medical cost before and after implementation of zero-profit drugs——Take a top three hospital of D city as an example

作　　者：曲昭虎 朱亚兰 卢泽栖 王昕[2] QU Zhao-hu;ZHU Ya-lan;LU Ze-xi;WANG Xin(Dalian Health Development Center,Dalian Liaoning 116011,China;Humanities&Social Sciences School of China Medical University,Shenyang Liaoning 110122,China)

机构地区：[1]大连市卫生健康事业发展中心,辽宁大连116011 [2]中国医科大学健康管理学院,辽宁沈阳110122

出　　处：《卫生软科学》2022年第3期56-60,共5页Soft Science of Health

基　　金：辽宁省社会科学规划基金项目(L21BSH017)。

摘　　要：[目的]比较药品零差率政策实施前后D市某三甲医院住院患者费用变化情况,分析政策改革对患者住院费用的影响,为减轻住院患者医疗费用负担和进一步深化医疗体制改革提供科学依据。[方法]收集、整理D市某三甲医院2016-2019年住院患者资料,并用Excel对患者住院数据进行描述性统计学分析。在Stata 16中应用中断时间序列模型重点分析人均药品费用变化。[结果]药品零差率政策实施后,患者人均药品费用降低554.521元,患者住院费用中其他费用(32.73%)取代药品费(25%)成为住院费用中占比最大的费用。护理费增长率(135.15%)居首位,床位费、诊断费及化验费均有不同水平涨幅。治疗费及手术费呈下降趋势。[结论]住院患者人均药品费用明显下降,住院费用结构趋于合理,但住院费用仍然居高不下。Objective By comparing and analyzing the changes of inpatient medical cost before and after the policy implementation of zero-profit drugs in a top three hospital of D city,and the impact of the policy reform on inpatient expenses so as to provided scientific basis for further reducing the burden of inpatient medical expenses and deepening the reform of medical system.Methods The data of inpatients in a top three hospital in D city from 2016 to 2019 were collected and sorted,and used Excel to conduct descriptive statistical analysis on hospitalization data of patients.It was emphases on the change of per capita drug cost in Stata 16 by interruption time series model.Results After the implementation of zero-profit drug policy,the per capita drug cost of patients decreased by 543.87 yuan,and other expenses(32.73%)replaced drug costs(25%)which became the largest proportion of hospitalization costs.The growth rate of nursing expenses(135.15%)took the first place.The bed cost,diagnosis cost and laboratory cost all increased at different levels.The cost of treatment and operation showed a decreasing trend.Conclusions The per capita drug cost of inpatients decrease significantly,and the structure of hospitalization cost tend to be reasonable,but the hospitalization cost is still high and has an increasing trend.

关 键 词：药品零差率 中断时间序列 住院费用 

分 类 号：R197.1[医药卫生—卫生事业管理] R956[医药卫生—公共卫生与预防医学]