北京市某精神专科医院次均住院费用及结构分析  

Analysis of Average Hospitalization Cost and Structure of a Psychiatric Hospital in Beijing

作　　者：马灿 李秀华[1] MA Can;LI Xiu-hua(Peking University Sixth Hospital)

机构地区：[1]北京大学第六医院

出　　处：《医院管理论坛》2024年第4期22-25,共4页Hospital Management Forum

摘　　要：目的分析北京市某精神专科医院住院费用构成及结构变动情况,为优化住院费用结构、合理控制医疗费用、促进精神卫生事业的高质量发展提供参考。方法采用结构变动度和灰色关联方法分析2018—2022年北京市某精神专科医院住院费用变动情况。结果2018—2022年,次均住院费用构成占比最高的依次是诊断类、治疗类和综合医疗服务类。西药类费用在所有年度区间均负向变动,治疗类费用变动均为正向变动且绝对值相对较大。治疗类费用的结构贡献率最大,其次是诊断类、综合医疗服务类和西药类。诊断类费用与次均住院费用关联度最大。结论受医疗改革的正向影响,费用结构日趋合理化。需重视检查类费用对次均住院费用的影响,可视情况丰富中医类康复类等治疗手段,增加特色优势,推动均衡发展。Objective To analyze the composition and structural changes of hospitalization cost in a psychiatric hospital in Beijing,so as to provide reference for optimizing the structure of hospitalization cost,reasonably controlling medical expenses,and promoting the high-quality development of mental health services.Methods Structural change degree and gray correlation methods were used to analyze the changes in hospitalization costs of a psychiatric hospital in Beijing from 2018-2022.Results From 2018 to 2022,diagnosis,treatment and comprehensive medical services accounted for the highest proportion of the average hospitalization cost.The cost change of western medicine was negative in all annual intervals,while the cost change of treatment was positive and relatively large in absolute value.The structural contribution rate of treatment cost was the largest,followed by diagnosis,comprehensive medical services and western medicine.The diagnostic cost had the highest correlation with the average hospitalization cost.Conclusion Under the positive impact of the healthcare reform,the cost structure is increasingly rationalized.It is necessary to pay attention to the impact of examination costs on average hospitalization costs per capita,and it is possible to enrich Chinese medicine and rehabilitation treatments as appropriate,so as to increase the number of distinctive advantages and promote balanced development.

关 键 词：次均住院费用 精神专科 结构变动度分析 灰色关联分析 

分 类 号：R197.5[医药卫生—卫生事业管理]