广州市某三甲公立医院医疗服务价格改革实施情况分析  

Analyze on the implementation of medical service price reform in a grade A tertary public hospital in Guangzhou

作　　者：王文昱 王娜 肖俊辉 WANG Wen-yu;WANG Na;XIAO Jun-hui(School of Public Health,the University of Hong Kong,Hong Kong 999077,China;Health Regulation and Policy Research Institution of Guangdong Medical University,Dongguan,Guangdong 523808,China)

机构地区：[1]香港大学公共卫生学院,中国香港999077 [2]广东医科大学卫生法规与政策研究所,广东东莞523808

出　　处：《卫生软科学》2022年第8期3-9,共7页Soft Science of Health

摘　　要：选取广州市某三甲公立医院为个案,采用描述统计分析法和灰色关联法分析医疗服务价格改革政策的实施情况,发现该公立医院实施医疗服务价格改革后,药品费用占比逐步下降,手术费、护理费、治疗费等技术性收入的占比逐年小幅上升,平均住院日缩短,但还存在药占比未达到政策要求、检查费、医用耗材调价效果不明显、手术费和护理费等技术性劳务的关联度下降等问题。该公立医院医疗服务价格改革达到了初期效果,破除了“以药补医”机制,但仍需继续深化改革和加强管理。A grade A tertary public hospital in Guangzhou was selected as a case,and the descriptive statistical analysis and grey relational analysis(GRA)method were used to analyze the implementation of medical service price reform policy.It was found that after the medical service price reform,the proportion of drug costs decreased,meanwhile,the proportion of surgical expenses,nursing expenses,and treatment expenses increased slightly year by year,and the average hospital stay was shortened.However,the proportion of drug did not met the policy requirements,the effect of price adjustments for inspection fees and medical consumables was not obvious,and the correlation of technical labor services such as surgical fees and nursing fees declined.The medical service price reform of the public hospital has achieved initial results,and got rid of the mechanism of“pharmacy profits to subsidize medical services”,but it still needs to deepen the reform and strengthen the management.

关 键 词：公立医院 医疗服务价格改革 效果评价 

分 类 号：R197[医药卫生—卫生事业管理]