[1]佟朝霞 陈宇 孔晴宇 魏永祥.北京市医药分开综合改革政策对住院病组结构的影响分析[J].中国卫生质量管理,2018,25(05):025-27.[doi:10.13912/j.cnki.chqm.2018.25.5.08]
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北京市医药分开综合改革政策对住院病组结构的影响分析
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《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

卷:
第25卷
期数:
2018年05期
页码:
025-27
栏目:
医疗质量
出版日期:
2018-09-28

文章信息/Info

作者:
佟朝霞 陈宇 孔晴宇 魏永祥
首都医科大学附属北京安贞医院
关键词:
医药分开综合改革; 住院费用; DRGs分组; 病组结构
Keywords:
Comprehensive Reform of Separation of Clinic from Pharmacy;  Hospitalization Expenses;  DRGs Grouping;  Diseases Group Structure
DOI:
10.13912/j.cnki.chqm.2018.25.5.08
摘要:
目的 分析北京实施医药分开综合改革政策对医院医疗收入、费用结构及病组结构等方面产生的影响，为深化医改提供依据。方法 利用DRGs管理工具对2017年4月-6月出院病例与2016年同期病例进行回顾性分析。结果 出院人次及住院医疗总收入同比上涨，费用结构中药品收入下降，耗材费用和医疗服务类收入增加。病组结构变化主要是常见病、多发病、单一疾病住院人数下降，合并症患者增加。结论 医改措施初见成效，推动了分级诊疗的落实，还需进一步深化改革，尽快调整医疗技术类服务价格和加强医用耗材管控。
Abstract:
ObjectiveTo provide the basis for deepening medical reform through analyzing the effects of the policy of comprehensive reform of separation of clinic from pharmacy in Beijing on the medical income, cost structure and disease group structure.MethodsThe DRGs management tools were used to retrospectively analyze the cases of discharging from the hospital from April to June in 2016 and cases of the same period in 2017.ResultsThe total number of hospital discharges and hospitalization income rose compared with the same period, the revenue of medicine in the fee structure decreased, the cost of consumables and the income from medical services increased. Structural change in the disease group is that mainly common disease, frequently-occurring disease, single disease hospitalization decreased, patients with comorbidity increased.Conclusion Health care reform had achieved initial success, promoted the implementation of hierarchical diagnosis and treatment, but further reform was still needed, the medical technology service price should be adjusted as soon as possible, and medical consumables management and control should be strengthened.

参考文献/References:

［1］孔香云.取消药品加成政策对省级公立医院运营的影响及对策分析［D］.山东:山东大学，2017：5-10.

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更新日期/Last Update: 2018-09-28