摘要
目的分析不同地区和级别医院静脉输液成本与政府定价的关系。方法采用典型抽样方法,分别选取上海市及浙江、湖北和陕西省的二、三级公立医院各一家,收集2007年的相关数据资料。调查各样本医院的静脉输液收费标准,测算人力和材料成本及收费价格水平,结合地区经济水平及各样本医院基本情况和经济运营状况进行综合分析。结果各样本医院的收费水平与当地经济发展水平相适应。静脉输液人力成本占总成本的比例,二级样本医院为72.36%～87.87%,三级样本医院为83.72%～94.46%;静脉输液收费价格水平,二级样本为0.12～0.85,三级医院为0.07～0.57;其中上海市和浙江省成本与定价的差距更为悬殊。各样本医院的人力成本回收率均小于<100%。结论静脉输液消耗的主要是人力成本。各地区医院静脉输液的实际成本均高于现行收费标准,护理人员的技术劳务价值未得到充分体现。应合理调整现行收费结构,并建立动态的医疗服务成本价格监测体系适时调整医疗服务价格。
Objective To explore the relationship between cost and price of venous transfusion in hospitals of different levels in different regions. Methods Eight hospitals were selected by representative sampling from Shanghai,Zhejiang Province,Hubei Province and Shaanxi Province,with one secondary hospital and one tertiary hospital in each region. The related data of the year 2007 of each hospital,including the charge standard of venous transfusion,cost of human resource and materials,and price level were obtained and comprehensively analysed with consideration of regional economic levels and hospital management conditions. Results The price level of sample hospitals accommodates with the regional economic conditions. The ratios of cost of human resource to total cost of venous transfusion were 72.36% to 87.87% and 83.72% to 94.46%,respectively for secondary hospitals and tertiary hospitals,and the price levels of venous transfusion were 0.12 to 0.85 and 0.07 to 0.57,respectively for secondary hospitals and tertiary hospitals. The differences between cost and price were relatively significant in Shanghai and Zhejiang Province. The human resource recovery rates of each sample hospital were less than 100%. Conclusion Human resource contributes to most of the cost of venous transfusion. The cost of venous transfusion was higher than the charge standard in each region,which has underestimated the technical service value of medical staff. The medical service charge structure should be adjusted and the dynamic price monitoring system should be established.
出处
《上海交通大学学报（医学版）》
CAS
CSCD
北大核心
2009年第3期268-271,共4页
Journal of Shanghai Jiao tong University:Medical Science
基金
国家自然科学基金(70873083)
国家科技部基金(2007GXS3BO49)
国家卫生部基金(2008PF01)~~
关键词
静脉输液
成本
价格
venous transfusion
cost
price
