摘要
目的:从信任视角对患者住院费用构成及影响因素进行分析,探讨新医改后的医疗控费方向。方法:以某县级市三级乙等医院的5 205例住院病例为研究对象,主要应用均值分析、相关分析与回归分析进行考察。结果:医疗费用过快上涨严重损害了患方对医方的"善意信任",而医疗费用上涨过快的根源由以前的药占比过大,转变为现在的检查治疗费与材料费占比过高,医疗控费的重点需从控制药费转为控制检查治疗费与材料费过快上涨。结论:未来的医疗控费需要系统思维,实行基于总成本的统一规制,需要从医疗服务的支付方、监管方与提供方多维度整体性控制。
Objective：To analyze the structure and influencing factors of patients＇ hospitalization costs and investigate the direc.tion of medical cost control from the view of trust.Methods：Taking 5 205 cases of hospitalization in a Level B tertiary county level hospitals as the object.The mean analysis,correlation analysis and regression analysis were applied to investigate.Results：The over speeding increase of medical cost significantly damaged to the＂goodwill trust＂of patients for the doctors.The root for soaring medical costs changed from the previous drug＇s over account into the present examination and treatment fees and the high cost of ma.terials.The key point of medical cost control needed to change from drug cost control to the control for the over increase of examine costs and material costs.Conclusion：The future medical expenses required systematical control,implement the unified regulation of the total cost and control the dimensional integration of the payer,the supervisor and the provider of health care services.
出处
《中国卫生经济》
北大核心
2016年第3期71-75,共5页
Chinese Health Economics
基金
教育部人文社会科学研究青年基金项目(14YJCZH217)
浙江省自然科学基金项目(LY14G030024)
关键词
医疗控费
住院费用
检查治疗费
材料费
药费
信任
medical control cost
hospitalization cost
medical examine cost
material cost
drug cost
trust
