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某三甲综合医院门诊费用结构变动度分析
作者：余敏 杨帆 王佩玉
来源：《中国卫生产业》2018年第30期
[摘要] 目的 分析2012—2017年某三级医院门诊医疗费用结构变动的趋势与特征，为该院门诊医疗费用结构的合理调整，有效控制门诊费用提供相关理论依据。方法 采用结构变动度分析方法，对某院2012—2017年门诊医疗费用构成的变动趋势进行分析。结果 2012—2017年某院门诊费用结构中药品费所占比均是最高，药品费2012—2017年连续呈负向变动，逐年下降；在2012—2017年门诊医疗费用结构变动中，贡献率最大的是药品费（占47.6%），其次是化验费和治疗费（分别为17.47%和14.61%），三者累计贡献率为79.68%。2015—2017年的材料费呈正向变动，而诊疗费用中的治疗费、诊察费等呈现出负向变化的趋势。结论 该院门诊医疗费用的增长仍然存在不合理情况，需要进一步控制药占比，提高医务人员劳动价值的费用占比。
[关键词] 结构变动度；门诊医疗费用；费用控制
[中图分类号] R19 [文献标识码] A [文章编号] 1672-5654（2018）10（c）-0012-04 Analysis of Structural Change Degree of Outpatient Cost in a Tertiary Hospital YU Min， YANG Fan， WANG Pei-yu
Department of Medical Record Statistics， Nanchong Central Hospital， Nanchong， Sichuan Province， 637000 China
[Abstract] Objective To analyze the trend and features of structural change degree of outpatient cost in a Tertiary Hospital from 2012 to 2017 and conduct the rational adjustment of the outpatient medical cost structure thus providing theoretical basis for the effective control of outpatient cost. Methods The change trend of outpatient medical cost ratio in some hospital from 2012 to 2017 was analyzed by the structural change degree analysis method. Results The ratio of drug fee in the outpatient cost structure from 2012 to 2017 was the highest， and the drug fee showed a negative trend from 2012 to 2017， gradually decreasing， and the contribution ratio of drug fee was the highest， accounting for 47.6%， in the structural change of outpatient medical fee from 2012 to 2017， and the ratio of laboratory fee and treatment fee was the second （respectively accounting for 17.47%， 14.61%）， and the total contribution rate of the three fees was 79.68%， and the material fee from 2015 to 2017 showed a positive change， and the treatment fee and diagnosis and
observation fee in the diagnosis and treatment fee showed a negative change. Conclusion The increase of outpatient medical cost is still irrational， and we need to control the ratio of drugs further， and improve the ratio of cost of medical staff labor value.
某三甲综合医院门诊费用结构变动度分析
