2009-2013年新疆县级公立医院住院费用结构变动度分析

摘要

Objective To discuss changes degree of structure variation of hospitalization expenses in Xinjiang county level public hospitals from 2009 to 2013,the factors affecting hospitalization expense structure were analyzed to provide reference for unreasonable medical cost control and optimal use of health resources in public hospitals at county level in Xinjiang.Methods By collecting 2009-2013 Xinjiang county level public hospitals expenses related data,the database was established based on EXCEL.The expenses structure of public hospitals hospitalization in Xinjiang county level were analyzed by the methods of degree of structure variation of economics.Results The degree of structure variation of inpatient income was 45.100％ from 2009 to 2013.The three main factors that caused the change of hospitalization expenses were the drug expenses,and the examination expenses,treatment expenses,which were 80.699％.Conclusion Xinjiang county level public hospitals of cost structure was not reasonable in 2009-2013,and the cost of drug,inspection and testing was the most active expense in the hospital.In the future,we should adjust the medical service price by the macro policy combined with the hospital management to make the hospitalization expense growth in reasonable manner and reflect the labor technical value of the medical staff.%目的 探讨2009-2013年新疆县级公立医院住院费用结构变动情况,分析影响住院费用结构的因素,为新疆县级公立医院不合理医疗费用控制与优化使用卫生资源提供参考.方法 通过收集2009-2013年新疆县级公立医院住院费用相关数据,利用EXCEL建立数据库,采用经济学中的结构变动度方法,对新疆县级公立医院住院费用构成进行分析.结果 2009-2013年的住院费用总体结构变动度为45.100％.新疆县级公立医院住院费用结构中,药品费、化验费、检查费是引起住院费用结构变动的3个主要因素,三者累计贡献率为80.699％.结论 2009-2013年新疆县级公立医院住院费用结构中,药品费、检查费、化验费占比较大.今后应从宏观的政策层面进一步调整医疗服务价格,并与微观的医院管理层面相结合,使住院费用合理增长,体现医务人员的劳务技术价值.