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取消药品加成与医疗服务价格调整的影响 预览

Analysis of the Influence of Abolishing Drug Additions and Adjusting Medical Service Prices on Hospitalization Expenses in Public Hospitals
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摘要 目的研究取消药品加成和医疗服务价格调整对公立医院住院费用的影响。方法本文以2018年1月湖北省公立医院在价格改革落实前后住院费用的相关数据作为主要的研究对象,对于各种数据的变化状况进行研究和总结,对于政策的实施效果予以分析,研究取消药品加成和医疗服务,调整对公立医院住院费用的影响。结果对于落实取消药品加成和医疗服务价格调整前后进行比较,主要从整体医院、手术科室、非手术科室三个角度进行判断,出院患者人均药品费用落实方案之后,相关费用大大降低,非手术科室的药占比和床位费占比在落实方案之后,均得到降低,从药占比看,在总费用构成当中仍然排列靠前,前后比较,P<0.05,差异存在统计学意义。结论在公立医院取消药品加成、进行医疗服务价格调整能够在一定程度上对住院费用产生影响。 Objective To study the effect of abolishing drug additions and adjusting medical service prices on hospitalization expenses in public hospitals.Methods The data of hospitalization expenses before and after the implementation of price reform in public hospitals in Hubei provincein from January 2018 were taken as the main object of study.The changes of various data were studied and summarized.The effect of the implementation of the policy was analyzed.The effects of abolishing drug additions and medical services and adjusting the hospitalization expenses in public hospitals were studied.Results Comparing before and after the implementation of canceling drug additions and adjusting the price of medical services,we mainly judged from the three angles of the whole hospital,operation department and non-operation department.After the implementation of the plan,the related expenses of discharged patients per capita were greatly reduced,and the proportion of drugs and beds in nonoperation department was obviously reduced after the implementation of the plan.Comparatively speaking,it still ranks first among the total cost components.Conclusion Cancellation of drug additions and price adjustment of medical services in public hospitals can have an impact on hospitalization costs to a certain extent,which can reflect the pursuit of medical technology for medical staff.
作者 毛颖欢 李琼 MAO Yinghuan;LI Qiong(Finance Department,Xiaogan Central Hospital,Xiaogan Hubei 432000,China)
出处 《中国卫生标准管理》 2019年第18期25-28,共4页 China Health Standard Management
关键词 药品加成 医疗服务 价格调整 公立医院 住院费用 经济效益 drug addition medical service price adjustment publichospital hospitalization expense economic benefit
作者简介 通信作者:李琼.
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