川渝公立医院医疗费用变化趋势及结构变动分析  

Analysis of the change trend and structural variation of medical expenses in Sichuan and Chongqing public hospitals

作　　者：卢泉鸿 邓晶[1] 曾欣 程萍 张政[1] LU Quanhong;DENG Jing;ZENG Xin;CHENG Ping;ZHANG Zheng(School of Public Health,Chongqing Medical University,Chongqing 404100,China)

机构地区：[1]重庆医科大学公共卫生学院,重庆404100

出　　处：《卫生软科学》2024年第8期73-76,共4页Soft Science of Health

基　　金：重庆市教委人文社会科学类研究重点项目(22SKGH051);重庆医科大学未来医学青年创新团队发展支持计(03030299QC-W0020)。

摘　　要：[目的]分析川渝公立医院医疗费用结构变动情况,为川渝联动控制医疗费用提供参考。[方法]使用结构变动度分析法讨论2016-2021年川渝公立医院医疗费用变化及结构变动情况。[结果]2016-2021年,四川、重庆次均门诊费用年均增长速度分别为4.54%和4.64%,次均住院费用的年均增长速度分别为4.10%和4.25%,门诊费用中,药费占比最大,并呈逐年稳步下降趋势,结构变动值整体为负数,结构贡献率为50%,结构变动活跃;住院费用中,其他费用占比最大,并呈逐年上升趋势,结构变动值整体为正数,结构变动活跃度低于药费。[结论]川渝两地药费控制效果明显,但结构变动活跃,仍是医疗费用调整重点;两地检查治疗费、其他费用结构调整不一致,需要重视医务人员劳动技术价值、卫生材料费用的调整,进一步优化医疗费用结构。Objective This paper analyzes the structural variation of medical expenses in Sichuan and Chongqing public hospitals,so as to provide the reference for the joint control of medical expenses in Sichuan and Chongqing.Methods The changes and structural changes of medical expenses of public hospitals in Sichuan and Chongqing from 2016 to 2021 were discussed by using structural variation analysis.Results From 2016 to 2021,the average annual growth rates of outpatient expenses per visit in Sichuan and Chongqing were 4.54%and 4.64%respectively,and the average annual growth rates of inpatient expenses per visit were 4.10%and 4.25%respectively.Among the outpatient expenses,drug expenses accounted for the largest proportion,and showed a steady decline trend year by year.The structural variation value was negative,and the structural contribution rate was 50%,and the structural variation was active.Among the hospitalization expenses,other expenses accounted for the largest proportion and showed an increasing trend year by year.The structural variation value was positive overall,and the activity of structural variation was lower than that of drug expenses.Conclusions The effect of drug cost control in Sichuan and Chongqing is obvious,but the structural variation is active,which is still the focus of medical cost adjustment.The structure adjustment of checkup fees,treatment expenses and other expenses is inconsistent between the two places.It is necessary to pay attention to the adjustment of the labor and technical value of medical personnel and the cost of sanitary materials,and further optimize the structure of medical expenses.

关 键 词：公立医院 医疗费用 结构变动分析法 四川 重庆 

分 类 号：R197[医药卫生—卫生事业管理]