基于灰色关联和结构变动度分析的安徽省某三级综合性公立医院2017—2021年住院收入结构优化策略研究  

Optimization strategy of inpatient income structure of a tertiary comprehensive public hospital in Anhui Province from 2017 to 2021 based on grey correlation and structural variation analysis

作　　者：王玉[1] 杨五洋 孟娜娜 赵丹娜[1] WANG Yu;YANG Wuyang;MENG Nana;ZHAO Danna(Quality Management Office,the Second Hospital of Anhui Medical University,Anhui Province,Hefei230601,China)

机构地区：[1]安徽医科大学第二附属医院质量管理办公室,安徽合肥230601

出　　处：《中国医药导报》2023年第4期164-167,共4页China Medical Herald

基　　金：安徽医科大学青年人文社会科学研究项目(2019 xkj122);安徽省教育厅教学质量工程项目(2020jyxm0904)。

摘　　要：目的对安徽省某三级综合性公立医院2017—2021年住院收入内部构成及变化情况进行评价,为进一步优化安徽省公立医院医疗收入结构提供数据支持和参考依据。方法提取安徽省某三级综合性公立医院2017—2021年住院收入报表明细,运用灰色关联和结构变动度分析法进行评价。结果灰色关联分析结果显示,化验、材料、检查收入对住院总收入的关联度分别是0.901、0.894、0.842。结构变动度分析结果显示,该院住院收入总结构变动贡献率为12.566%,药品收入的变动最大(-2.911),检查、化验收入在期内均呈现正向变动。结论安徽省某三级综合性公立医院2017—2021年住院收入中药品收入增长得到控制,但是化验、检查等逐利性收入持续升高,治疗、手术等体现医务人员劳动价值的收入较低。建议进一步优化调整收入结构,加快“腾笼换鸟”实施进程,确保医院良性运行。Objective To evaluate the internal composition and changes of inpatient income of a tertiary general public hospital in Anhui Province from 2017 to 2021,so as to provide data support and reference for public hospitals in Anhui Province to further optimize the structure of medical income.Methods The inpatient income statements of a tertiary comprehensive public hospital in Anhui Province from 2017 to 2021 were extracted and evaluated by grey correlation and structural variation analysis.Results The results of grey correlation analysis showed that the correlation degree of laboratory,material,and examination income to total inpatient income was 0.901,0.894,and 0.842,respectively.The analysis results of structural variation showed that the total structural variation of inpatient income of the hospital was 12.566%.The biggest change was in drug income(-2.911),and examination and laboratory income showed positive change.Conclusion From 2017 to 2021,the growth of drug income in inpatient income of a tertiary general public hospital in Anhui Province is controlled,but profit-driven income such as laboratory and examination continued to rise,and the income reflecting the labor value of medical staff such as treatment and surgery is low.It is suggested to further optimize and adjust the income structure,speed up the implementation process of“removing cages and replacing birds”,and ensure the healthy development of hospitals.

关 键 词：灰色关联分析 结构变动度 收入结构 公立医院 

分 类 号：R195.1[医药卫生—卫生统计学]