[1]周明华谭红何思长罗鑫.四川省内中医医院医疗费用结构变动分析[J].中国卫生质量管理,2022,29(08):033-36.[doi:10.13912/j.cnki.chqm.2022.29.8.08 ]
　ZHOU Minghua,TAN Hong,HE Sizhang.Analysis on Changes of Medical Expense Structure of Traditional Chinese Medicine Hospital in Sichuan[J].Chinese Health Quality Management,2022,29(08):033-36.[doi:10.13912/j.cnki.chqm.2022.29.8.08 ]
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四川省内中医医院医疗费用结构变动分析
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《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

卷:
第29卷
期数:
2022年08期
页码:
033-36
栏目:
医疗质量
出版日期:
2022-08-28

文章信息/Info

Title:
Analysis on Changes of Medical Expense Structure of Traditional Chinese Medicine Hospital in Sichuan
作者:
周明华谭红何思长罗鑫
泸州市人民医院
Author(s):
ZHOU Minghua; TAN Hong; HE Sizhang
Luzhou People's Hospital
关键词:
中医医院; 医疗费用; 结构变动度
Keywords:
Hospital of Traditional Chinese Medicine;  Medical Expenses;  Structural Change Methods
分类号:
R197.4
DOI:
10.13912/j.cnki.chqm.2022.29.8.08
文献标志码:
A
摘要:
目的分析四川省内中医医院医疗费用结构变动情况，为促进中医医院医疗费用精细化管理提供依据。方法采用描述性分析法和结构变动度方法对四川省内中医医院2014年-2019年门诊和住院医疗费用结构变动情况进行分析。结果门诊收入中，中药收入平均占比最高（31.46%），手术收入平均占比最低（1.32%）；检查收入在2016年-2019年、中药收入和其他收入在2018年-2019年为负向变动；治疗收入贡献率呈先上升后下降特点，手术收入的贡献率和拉动力处于最小状态。住院收入中，其他收入平均占比最高（34.88%），手术收入平均占比最低（5.41%）；检查收入从2016年起、治疗收入从2017年起、手术收入从2018年起为正向变动；中药收入贡献率和拉动力不断增强，手术收入的拉动力在2019年明显提升。结论住院中药收入占比较低，应拓展中医药服务项目；治疗收入和手术收入结构变动贡献率较小，要加强中医医院服务能力建设；检查收入和其他收入拉动力较大，要加强对医务人员医疗行为的监管。
Abstract:
ObjectiveTo analyze the changes of medical cost structure in Traditional Chinese Medicine (TCM) hospitals in Sichuan Province, and to provide basis for promoting the fine management of medical cost in TCM hospitals.MethodsDescriptive analysis and structural change methods were used to analyze the structural changes of outpatient and inpatient medical expenses in TCM hospitals in Sichuan Province from 2014 to 2019. ResultsAmong the outpatient income, the average proportion of TCM income was the highest (31.46%), and the average proportion of surgical income was the lowest (1.32%). Examination income had been negatively changed since 2016,TCM income and other income had changed negatively since 2018. The contribution rate of treatment income increased firstly and then decreased, and the contribution rate and pulling force of surgery income were at the minimum. Among the hospitalization income, the average proportion of other income was the highest (34.88%), and the average proportion of surgical income was the lowest (5.41%). Examination income from 2016, treatment income from 2017, and surgical income from 2018 onwards were positive changes. The contribution rate and driving force of TCM revenue continued to increase, and the driving force of surgery revenue increased significantly in 2019.Conclusion Inpatient's TCM income was relatively low, Chinese medicine service projects should be expanded. The contribution rate of therapeutic income and surgical income was small, and it was necessary to strengthen the service capacity construction of TCM hospitals. The examination income and other income were the driving force, and the supervision of medical behavior of medical staff should be strengthened.

参考文献/References:

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更新日期/Last Update: 2022-08-28