摘要 目的基于三级甲等公立医院运营数据,分析医疗服务价格调整对医院收入结构的影响。方法引入成分数据分析方法,利用浙江省12家三级甲等公立医院(综合医院7家、中医类医院2家、专科医院3家) 2019年1—7月收入结构数据模拟无政策干预下8—12月数据,比较实际数据与模拟数据的差异。结果调价后综合医院、中医类医院和专科医院的医疗服务收入占比分别提高了4.77、4.01和2.54个百分点,检验和检查收入占比分别减少了0.60、0.78和2.94个百分点。综合性医院和中医类医院的药占比降低了1.87和5.29个百分点。各类医院服务收入增加了10 890.14万元,药品收入减少了6 521.79万元,检验检查收入减少了3 065.96万元。结论医疗服务价格调整政策提高了服务收入占比,降低了物耗性收入占比。下一步需建立医疗服务价格动态调整机制,继续控制医疗费用不合理增长,并关注不同类型医院收入结构的差异。 Objective based on the operation data of grade III level A public hospitals,to analyze the impact of medical service price adjustment on the hospital’s income structure.Methods Introducing compositional data analysis method,using the income structure data of 12 grade III level A hospitals(7 comprehensive hospitals,2 hospitals of traditional Chinese medicine and 3 specialized hospitals)from January to July,2019 to simulate the data from August to December,2019 without policy intervention.Comparing the difference between actual data and simulation data.Results After the price adjustment,the proportions of medical service income in comprehensive hospitals,traditional Chinese medicine hospitals and specialized hospitals increased by 4.77,4.01 and 2.54 percentage points respectively,and the proportion of inspection income decreased by 0.60,0.78 and 2.94 percentage points respectively.The proportion of medicine in comprehensive hospitals and traditional Chinese medicine hospitals decreased by 1.87 and 5.29 percentage points.Service revenue of various hospitals increased by 108.9014 million yuan,drug revenue decreased by 65.2179 million yuan,and inspection revenue decreased by 30.6596 million yuan.Conclusion The price adjustment policy has increased the proportion of service income,and reduced the proportion of material consumption income.In the next step,it is necessary to establish a dynamic adjustment mechanism of medical service prices,continue to control the unreasonable growth of medical expenses,and pay attention to the differences in the income structure of different types of hospitals.
出处 《中国医院管理》 北大核心 2021年第4期47-48,49-51,共5页 Chinese Hospital Management
基金 浙江省科技厅软科学研究项目(2018C35051) 温州市科技局研究项目(R20190065)。
