基于结构变动度分析的医疗服务价格改革效果评价研究  

Evaluation of Medical Service Price Reform Based on Structural Change Degree Analysis

作　　者：韩恺 于蔚[1] 薛郁雯 HAN Kai;YU Wei;XUE Yu-wen(The Affiliated Hospital of Qingdao University,Qingdao 266003,China)

机构地区：[1]青岛大学附属医院,青岛266003

出　　处：《青岛大学学报（自然科学版）》2023年第1期145-151,共7页Journal of Qingdao University(Natural Science Edition)

基　　金：青岛市社会科学规划项目(批准号:QDSKL2101098)资助。

摘　　要：为推进医疗服务价格改革,基于青岛市X公立医院2015—2021年财务数据,从医疗收入结构、医疗业务成本结构、均次费用等多角度,运用结构变动度分析法研究医疗收入结构的变动趋势与特征,探讨医疗服务价格改革对医院经济运行的影响。结果表明,医疗服务价格改革后,医院医疗收入结构优化,体现医护人员技术价值的医疗服务收入占比提高,但高值耗材收入下降趋势并不明显,检查费和化验费增幅较大。后续政策需通过加强检查化验项目的价格调整使其占比控制更合理。In order to promote the reform of medical service prices,the financial data of a public hospital in Qingdao from 2015-2021 was conducted a relevant data analysis which involved multiple perspectives such as medical revenue structure,medical cost structure,and average cost per visit.The change trend and characteristics of medical income structure were discussed based on the structural change analysis method to explore the impact of medical service price reform on hospital economic operation.The results fully indicate that the medical revenue structure of hospitals is optimized after the reform of medical service price.The proportion reflecting the technical value of medical and nursing staff has increased in the medical service income.The decline trend of high-value consumables revenue is not obvious,with larger increases in inspection and assay fees.Follow up policies need to make their share more reasonable than control by strengthening price adjustments for checking assay items.

关 键 词：医疗服务价格 公立医院 收入结构 结构变动度 

分 类 号：F235.1[经济管理—会计学] R195.1[经济管理—国民经济]