新医改背景下江西省公立医院控费效果分析

摘要

Objective: To analyze the patients' cost change in Jiangxi Provinces' public hosptials under the background of new health system reform. Methods: Selecting outpatient and inpatient cost data from 2008 to 2011 from national health statistics information network,and do Excel analysis. Results: The effects of controlling cost are overall good. Conclusion: Basic drug system should be con tinued to be implemented, the medical seperation be explored, the reform of the Medicare payment methods be promoted, health service information be announced, and the appraisal system be improved.%目的:分析新医改背景下江西省公立医院病人费用变化情况.方法:从国家卫生统计信息网络直报系统选取2008年到2011年江西省各级公立医院门诊和住院病人费用的数据,并将其录入Excel进行统计分析.结果:江西省公立医院病人费用总体控制情况较好.2011年与2008年按可比价格比较,江西省公立医院次均门诊费用、药费、检查费分别上涨-9.7％、7.9％、39.8％,全国对应为20.1％、18.7％和22.1％;江西省公立医院人均住院费用、药费、检查费涨幅分别为15.9％、8.7％和72.7％,全国对应为19.2％、-1.1％和6.8％.其中,检查费用涨幅普遍高于全国平均水平,但绝对数远低于全国.结论:继续贯彻落实基本药物制度,探索医药分开,推进医保付费方式改革,公开医疗卫生服务信息,完善绩效考核制度.