摘要
目的分析广西某市2013—2017年结核病住院费用主要构成及其变化情况,为减轻结核病患者经济负担,提高其获取医疗资源可及性提供参考依据。方法分析患者住院费用主要构成,并采用结构变动度方法对住院费用进行评价。结果 (1)人均住院天数中位数呈明显下降趋势;人均住院费用近5年基本稳定,维持在6 500元左右。(2)西药类费用和诊断类费用在住院费用构成中位于第1位和第2位,分别为43.66%和23.99%;综合服务类构成比呈上升趋势,年均增长率为18.73%。(3)西药费是各年度中变动最活跃的项目,活动度为26.04%,以负向变动为主。结论结核病患者住院费用过高,结构不合理,除控制药占比外,还需要其他措施控制总住院费用的增长。
Objective We analyzed the main composition and changes of tuberculosis hospitalization expenses in hospitals of a municipality in Guangxi from 2013 to 2017, which can be taken as the reference for formulating policy to reduce the economic burden of tuberculosis patients and improve medicine resource allocation. Methods To analyze the main components of hospitalization expenses. The degree of structure variation was used to evaluate hospitalization expenses. Results (1) The median of hospital days per capita showed a significant downward trend.The average capita tuberculosis hospitalization expenses has been basically stable for the past five years, and it has remained at about 6,500 yuan.(2) Western drug fees and diagnostic costs are ranked first and second in the composition of hospital expenses, which are 43.66 % and 23.99 % respectively.The composition of integrated services showed a marked upward trend year by year, with annual growth rates of 18.73 per cent.(3) Western drug expense is the most active factor in each year, with contribution rate of 26.04 %, and most of them are negative changes. Conclusion The tuberculosis hospitalization expenses were too high and the composition is unreasonable. Besides controlling the proportion of drugs, other measures should be performed to control the increase of total hospitalization expenses.
作者
罗小娟
韦征
何崇伟
陈展
黄高明
Luo Xiaojuan;Wei Zheng;He Chongwei;Chen Zhan;Huang Gaoming(Guangxi Medical University, Nanning 530021, China;Guangxi Center for Disease Prevention and Control)
出处
《中国医院统计》
2019年第2期107-110,共4页
Chinese Journal of Hospital Statistics
关键词
结核
住院费用
结构变动度
结构变动贡献率
tuberculosis
hospitalization cost
degree of structure variation
contribution rate of structure variationl
