摘要
目的:分析2013—2015年度山西省医疗机构费用控制情况。方法:通过"山西省医疗机构服务能力分析与评估平台"采集全省59所三级医院和79所二级医院的相关数据。结果:门诊、住院费用走势相同,三级医疗机构呈逐年上涨趋势,二级医院波动较大,2014年达到峰值,2015年出现回落;费用结构没有出现明显改善。结论:落实分级诊疗政策对医疗费用变动情况有一定影响;患者就医习惯黏性存在,短期内改变难度大;现行定价方式不利于医疗机构改善收入结构,影响费用控制效果。
Objective： To analyze the fees＇ control status of medical institutions in Shanxi from 2013 to 2015. Methods： It col- lect related data of different level＇s hospital from the offieal platform of Shanxi medical service capacity analysis and evaluation which included 59 3rd degree hospitals＇s data and 79 2nd dergee hospital＇s data. Results： For the 3rd degree hospitals, both the in-patients＇ and out-patients＇ fees raised by years; for the 2nd degree hospitals, the fees reached to the peak in 2014, and fell sharply in 2015; there were no obvious improvement. Conclusion： The hierarchical treatment policy had certain effect on the fees control implement. The patients＇ habits had stickness, which could not be changed in short time; the price policy was not good for the motification of income strcture, which effected the fees＇ control.
出处
《中国卫生经济》
北大核心
2016年第10期77-80,共4页
Chinese Health Economics
关键词
门诊费用
住院费用
分级诊疗
收入结构
定价方式
山西
outpatient expense
inpatient fee
hierarchical treatment
income strcture
pricing method
Shanxi
