摘要
目的分析县级公立医院综合改革以来医疗费用的结构变化情况,为优化医疗收入结构,建立合理的控费机制提供参考。方法收集重庆市某县级公立医院2012—2016年相关数据,利用结构变动度分析方法对相关指标进行分析。结果县级公立医院改革后,医疗费用增长速度放缓,但费用结构不合理;取消药品加成取得一定成效,但一定程度上存在"费用转移";体现医务人员服务技术价值的费用项目增幅不明显。结论医院应进一步完善调整收入结构,加强药品管控,完善激励机制。
Objective To analyze the structural changes of medical expenditure since the comprehensive reform of county public hospitals,so as to provide reference for optimizing the structure of medical income and establishing a reasonable control mechanism.Methods The related data from 2012 to 2016 in a county public hospital in Chongqing were collected and analyzed by the method of structural variability analysis.Results The county public hospital reform,medical expenses growth slowed,but the cost structure is not reasonable;cancel the drug addition and achieved certain results,but there are some"cost transfer";reflect the value of service skills of medical personnel in the cost of the project was not obvious.Conclusion The hospital should further improve and adjust the income structure,strengthen drug control and improve the incentive mechanism.
作者
许镜
穆云庆
XU Jing;MU Yun-qing(Department of Health and Economics,First Affiliated Hospital of Army Medical University,Chongqing 400038,China)
出处
《中国全科医学》
CAS
北大核心
2017年第B12期438-441,共4页
Chinese General Practice
基金
重庆市科委决策咨询与管理创新专项项目(cstc2016jccx B0013)
关键词
县级公立医院
医疗费用
结构变动度
County public hospitals
Medical expenses
Structural variability
