摘要
目的分析南通市某三甲医院住院费用内部构成变动情况和原因,为控制住院费用不合理增长、优化调整费用结构提供参考。方法收集2017年1月1日-2021年12月31日的住院费用及明细,采用新灰色关联分析法和结构变动度方法,分析不同项目费用与住院费用的关联性及贡献程度。结果2017-2021年住院费用结构变动度为33.84%,药费(1.0000)、检查检验费(0.8770)、耗材费(0.8237)是与住院费用关联最大的3个项目;药费的结构贡献率最高(36.14%),其次是检查检验费(19.47%),之后是耗材费(17.26%),三者累计贡献率为72.87%。结论药费、检查检验费和耗材费是影响该院住院费用的主要项目,体现医护技术劳务价值的手术治疗费、护理费等费用项目占比较低,费用结构不合理,需进一步加强对检查、化验和耗材的监督和管理,优化费用结构,促进医院高质量发展。
Objective To analyze the changes in the internal composition of hospitalization expenses and the reasons for them in a tertiary hospital in Nantong,and to provide reference for controlling the unreasonable growth of inpatient costs and optimizing and adjusting the cost structure.Methods The data of hospitalization expenses and details were collected from January 1,2017 to December 31,2021,and the correlation and contribution of different program costs to hospitalization expenses were analyzed using the new gray correlation analysis and the degree of structural variation method.Results The degree of structural variation in hospitalization expenses from 2017 to 2021 was 33.84%,with drug costs(1.0000),examination and test costs(0.8770),and consumables costs(0.8237)being the three items most associated with hospitalization costs;drug costs had the highest the contribution rate of structure variation(36.14%),followed by examination and test costs(19.47%),followed by consumables costs(17.26%),with a cumulative contribution of 72.87%for all three.Conclusion Medicine,examination and testing,and consumables are the main items affecting the hospital's hospitalization expenses,while surgical treatment and nursing,which reflect the value of medical and nursing technical labor,account for a relatively low percentage of the cost items,and the cost structure is unreasonable,and the supervision and management of examination,testing,and consumables need to be further strengthened to optimize the cost structure and promote the high-quality development of the hospital.
作者
刘焰
卢萍萍
LIU Yan;LU Ping-ping(Department of Information,the Third People's Hospital of Nantong,Nantong 226000,Jiangsu,China;Department of Medical Case Statistics,the Third People's Hospital of Nantong,Nantong 226000,Jiangsu,China)
出处
《医学信息》
2023年第6期59-62,共4页
Journal of Medical Information
关键词
住院费用
新灰色关联
结构变动度
Hospitalization expenses
New gray correlation
Degree of structural variation
