摘要
目的:探索DRG支付方式改革后FM19病组住院患者的费用结构变化及影响因素,为合理管控此类医疗费用提供参考。方法:采用统计学描述方法,对烟台市8家DRG试点医院FM19病组住院患者的信息以及高值耗材的使用情况进行分析;运用结构变动度分析法,分析费用变化的主要类别和方向。结果:住院患者人次增加,次均住院费用与耗材费下降趋势明显。2019—2021年住院患者次均住院费用的结构变动度为46.50%,其中耗材费、手术和治疗费是影响住院费用变动的主要项目,累计贡献率为84.24%。结论:FM19病组住院患者的费用下降明显,费用结构逐渐趋于合理化,但体现医务人员劳动价值的服务设施费增幅有限,同时为避免高值耗材的滥用,应持续加强基金监管。
Objective:To explore the changes and influencing factors of the cost structure of hospitalized patients in FM19 group after the reform of DRG payment method,and to provide references for the reasonable management and control of such medical ex⁃penses.Methods:The information of patients in FM19 group and the use of high-value consumables in 8 DRG pilot hospitals in Yan⁃tai city were analyzed by statistical description.The main types and directions of cost changes were analyzed by structural variation analysis.Results:The number of inpatients increased,and the average hospitalization cost and consumables cost decreased obviously.From 2019 to 2021,the structural variation of the average inpatient hospitalization cost was 46.50%,and the consumables cost,opera⁃tion cost and treatment cost are the main items affecting the change of hospitalization cost,with a cumulative contribution rate of 84.24%.Conclusion:The cost of hospitalized patients in FM19 patients decreased significantly and the cost structure was gradually rationalized,but the increase of service facility cost reflecting the labor value of medical personnel was limited.Meanwhile,in order to avoid the abuse of high-value consumables,the fund supervision should be strengthened continuously.
作者
杨琳
朱兆芳
崔斌
程斌
史纪元
苏岱
那春霞
Yang Lin;Zhu Zhaofang;Cui Bin(Weifang Medical University,Weifang,Shandong,261053,China;不详)
出处
《中国卫生经济》
北大核心
2023年第10期29-32,共4页
Chinese Health Economics
基金
国家医疗保障局委托课题
