摘要
目的 探讨天津市公立医院医疗费用控制取得的成效及存在的问题,为下一步改革提供数据支撑和科学依据。方法 利用2016—2020年天津市公立医院医疗费用数据,采用描述性分析、Mann-Kendall检验方法、灰色关联分析法和结构变动分析法等方法,分析医疗费用的总体变化趋势和内部结构变化。结果2016—2020年天津市公立医院的人均住院费用和门诊患者次均诊疗费用构成中药费占比最高,药费、其他费用、检查费、化验费、手术费等是引起费用结构变动的主要项目,卫生材料费和治疗费是关联度最大的项目。结论 医疗费用结构变动幅度均较大,取消药品加成效果显著,检查和化验费呈增长趋势,卫生材料费逐年上升,体现劳务技术价值的项目费用增幅不明显。
Objective To explore the effectiveness and existing problems of medical cost control in public hospitals in Tianjin,and to provide data support and scientific basis for the next stage of reform.Methods Using the medical expense data of public hospitals in Tianjin from 2016 to 2020,descriptive analysis,Mann-Kendall test method,grey relational analysis method and structural change analysis method were used to analyze the overall change trend and internal structural changes of medical expenses.Results From 2016 to 2020,the per capita inpatient costs and outpatient consultation costs of Tianjin public hospitals constitute the highest proportion of traditional Chinese medicine costs.Drug expenses,other expenses,examination expenses,laboratory expenses and operation expenses are the main items causing the change of expense structure.Health material cost and treatment cost are the most relevant items respectively.Conclusion The fluctuation range of medical cost structure is large.Cancellation of drug addition has a significant effect;Inspection and laboratory costs show an increasing trend;The cost of sanitary materials increased year by year;The increase in project cost that reflects the value of labor services is not obvious.
作者
吴宁
刘春雨
田可君
WU Ning;LIU Chunyu;TIAN Kejun(Tianjin Health Information Research Center(Tianjin Health Development Research Center),Tianjin 300041,China)
出处
《中国卫生信息管理杂志》
2022年第4期499-505,共7页
Chinese Journal of Health Informatics and Management
关键词
医疗费用结构
结构变动度
灰色关联分析
medical cost structure
degree of structure variation
grey correlation
作者简介
吴宁(1991-),女,硕士,助理研究员,研究方向:卫生经济学研究,E-mail:wuning@tj.gov.cn;通信作者:刘春雨(1989-),女,硕士,助理研究员,研究方向:卫生政策研究,E-mail:liuchunyu@tj.gov.cn。
