摘要
目的 分析2012年—2019年我国二级公立医院医疗收入结构变动情况,为优化二级公立医院的医疗收入结构及费用控制提供数据参考。方法 在描述分析的基础上,使用灰色关联法和结构变动度方法分析二级公立医院门诊和住院医疗收入的关联度和结构变动情况。结果 医疗盈余率逐年下降,门诊和住院医疗收入结构变动度分别为16.55%、32.18%,内部结构不合理,药品收入在门诊和住院医疗收入中的贡献率仍居第一位,依旧是医疗收入的主要构成单元。门诊和住院收入的关联度最大的分别是检查收入和治疗收入。结论 应继续加强对药品和卫生材料的管控,进一步提升二级公立医院医疗收入结构的合理性和科学性。
Objective To analyze the changes in revenue composition among secondary public hospitals in China from 2012 to 2019,aiming to provide new evidence for optimizing the revenue composition and cost control in these hospitals.Methods Based on the descriptive analysis,the correlation of revenues between outpatient and inpatient departments and changes in composition were analyzed using the gray correlation and the degree of structural variation,respectively.Results The surplus rate declined annually,with a structural variation rate being 16.55% and 32.18%,respectively,in the outpatient and inpatient departments.The internal composition was unreasonable:revenue from drugs still ranked first in both outpatient and inpatient departments and remained the main composition of medical revenues.Revenues from examinations and treatments showed the largest correlations in the outpatient and inpatient departments.Conclusions The use of drugs and medical materials should be further supervised and controlled in secondary public hospitals to further improve the rationality and scientificity of revenue composition.
作者
陈昌贵
Chen Changgui(Southwest Medical University,Luzhou 646000,Sichuan Province,China)
出处
《中国医疗管理科学》
2022年第2期11-16,共6页
Chinese Journal Of Medical Management Sciences
关键词
二级公立医院
医疗收入
结构变动度
灰色关联法
Secondary public hospitals
Healthcare revenue
Degree of structural variation
Gray correlation
