摘要
目的:通过对青海省20所公立医疗机构医疗服务项目和价格改革前后相关数据对比分析,了解改革后各类医疗机构实际开展医疗服务项目数量和收入变化情况,为进一步稳妥推进改革提供依据。方法:采用回顾性调查和现况调查相结合的方法整群抽取不同类型医疗机构相关资料,对比分析改革前后的变化情况。结果:改革后不同类型医疗机构实际开展的医疗服务项目数量占国家规范数比例较低;医药总费用增长,次均费用下降,住院和门诊患者药品总费用和次均费用均下降,医疗服务项目总费用和次均费用均增加。结论:改革后医疗机构的实际开展医疗服务项目数较少;药品和医疗服务项目收入结构发生明显变化,改革初步实现了预期。
Objective： To compare, and analyze the related data of medical service items and price reforms in 20 public medical institutions of Qinghai Province, learn the actual changes in the number of medical services items and income on various types of medical institutions after retorm, so as to provide basis for further steady and sound reform. Methods： The epidemiological methods combined with retrospective investigations and current investigations were used to collect relevant data from different types of medical institutions and compare the changes before and after the reform. Results： The number of medical service items actually carried out were low proportion compared national norms after the reform, both the total cost of medicines and the average cost were increased. Both the medicines total and average cost of medical treatment for inpatient and outpatient were decreased. The total and the average cost of medical services items were increased. Conclusion： The number of medical service items actually implemented in medical institutions was little after reform. The income slructnre of medicines and medical service items were marked changed in medical institutions alter the reform, and initial reform expectations had been achieved.
作者
赵宏
杨立嵘
赵磊
李斌
刘燕
王秀娟
ZHAO-Hong;YANG Li-rong;ZHAO-Lei(Nutrition and Food Hygiene,Department of Public Health,Medical College,Qinghai University,Xining,810001,China)
出处
《中国卫生经济》
北大核心
2018年第8期57-60,共4页
Chinese Health Economics
基金
青海省发展和改革委员会
青海省卫生和计划生育委员会委托项目(QHFGJG-201701)
关键词
公立医院
医疗服务价格
医疗服务项目
青海
public hospital retorm
medical service price
medical service project
Qinghai
