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2012 — 2016年我国公立医院医疗收入结构变动情况分析

Change of medical income structure in public hospitals in China: 2012 – 2016

  • 摘要:
    目的 分析近年来我国公立医院医疗收入结构变动情况及特征,为找到影响医疗收入结构变动的主要项目,合理优化医疗收入结构,控制医疗费用的不合理增长提供科学依据。
    方法 收集2012 — 2016年我国公立医院医疗收入数据,并运用结构变动方法对数据进行分析。
    结果 2012 — 2016年我国公立医院门诊收入结构变动度为5.83 %,西药收入、卫生材料收入、检查收入是构成门诊收入变动的主要来源,三者累计贡献率为76.33 %;2012 — 2016年我国公立医院住院收入结构变动度为11.38 %,西药收入、卫生材料收入、检查收入是构成住院收入变动的主要来源,三者累计贡献率为91.48 %。
    结论 西药收入、卫生材料收入和检查收入是影响我国公立医院医疗收入结构变动的主要项目,管理部门应加强对西药收入、卫生材料收入和检查收入监管和控制;提高体现医务人员劳动价值的业务收入;进一步优化和完善我国公立医院医疗收入结构。

     

    Abstract:
    Objective To analyze changes and characteristics of medical income structure in public hospitals in China in recent years and to provide evidences for finding main items that affect the changes of medical income structure, rationally optimizing the medical income structure and controlling the irrational growth of medical expenses.
    Methods The data on medical income in public hospitals in China from 2012 to 2016 were collected and analyzed with structural change method.
    Results During 5-year period for public hospitals in China, the degree of structure variation in outpatient income was 5.83%; the income of western medicine, income from medical materials and inspections were the main source that led to the changes in outpatient income, with a total cumulative contribution rate of 76.33% for the three items; the degree of structure variation of inpatient income was 11.38%; western medicine income, medical material income, and inspection income were the main sources affecting the inpatient income, with a total cumulative contribution rate of 91.48% for the three items.
    Conclusion The income of western medicine, medical materials and inspection are the main items that lead to the change of medical income structure of public hospitals in China. The management department should strengthen the supervision and control of the income of western medicine, medical materials and inspection income, improve the labor service income of medical personnel and further optimize and improve the medical income structure of public hospitals.

     

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