Objective To investigate the structure changes of medical income in a tertiary hospital after implementation of the new " Guangxi Medical Service Price". Method Using evaluation index of structural variation value, degree of structural variation , and contribution rate of structural variation to analyze structure variation trend on out - patient and in - patient income from 2006 to 2011. Result The average annual structural variation degrees for outpatient and inpatient income were 1.485% and 4. 717% , respectively. The examination income, treatment income, surgery income, other income was the main item influencing the structural variation of outpatient, the cumulative contribution rate of the four items was 84. 433%. The pharmacy, therapy, operation and laboratory income was the main item influencing the structural variation of inpatient, the cumulative contribution rate of the four items was 77.406. Conclusion Structural variation degree can be used to analyze outpatient and inpatient income structure in hospital, to effective control the charging items with excessive growth of medical income caused by the implementation of " Guangxi Medical Service Price".%目的 探讨某三级医院实施新的《广西医疗服务价格》后医疗收入结构变动情况.方法 运用结构变动值、结构变动度和结构变动贡献率等评价指标,分析医院2006～2011年门诊及住院收入结构变动趋势.结果 年均门诊收入及住院收入结构变动度分别为1.485％及4.717％；检查收入、治疗收入、手术收入、其它收入是影响门诊收入结构变动的主要项目,4项累计贡献率为84.433％；药品收入、治疗收入、手术收入、化验收入是影响住院收入结构变动的主要项目,4项累计贡献率为77.406％.结论 应对《广西医疗服务价格》实施后收入增长过快的项目实行有效控制.
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