| 引用本文: |
丁玲玲,王力男,李芬,等.基于结构变动度的上海市医疗收入分析[J].中国卫生经济,2017,(8):73-76.[点击复制] |
.Analysis on Medical Income of Shanghai Based on Degree of Structure Variation[J].CHINESE HEALTH ECONOMICS,2017,(8):73-76.[点击复制] |
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| 摘要: |
| 目的 探讨上海市近几年的医疗收入结构变动趋势及特征,为找到影响医疗收入结构变动的主要项目、优化医疗收入结构、找出医疗费用不合理增长的原因及为有效控制医疗费用提供理论支撑。方法 收集上海市2012-2015年的医疗收入数据，运用结构变动值、结构变动度和结构贡献率等指标进行分析。结果 2012-2015年的门诊收入结构变动度为7.88%，西药收入、中成药收入、中草药收入、化验收入和治疗收入等是引起门诊收入结构变动的主要项目；2012-2015年的住院收入结构变动度为13.64%，卫生材料收入、西药收入、中成药收入、手术收入、化验收入等是引起住院收入结构变动的主要项目。结论 药品收入和卫生材料收入是影响医疗收入的主要项目，检查化验收入占比较高，劳务性收入占比较低，管理部门应进一步加强对药品、医用材料的监管，提高医务人员劳务性收入，进一步加强对医疗收入结构的优化。 |
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| Analysis on Medical Income of Shanghai Based on Degree of Structure Variation |
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| Abstract: |
| Objective To explore the trends in change and characteristics of medical income structure in Shanghai in recent years, find out the main items that affect the medical income structure change, optimize the medical income structure , find out the reasons for the unreasonable growth of medical expenses and provide theoretical support for effective control of medical expenses .Methods Collecting medical income date of Shanghai from 2012 to 2015 and using the index of structural change value, Degree of Structure Variation and structural contribution rate to analyze. Results The Degree of Structure Variation of medical income was 7.88% from 2012 to 2015, the income of western medicine, Chinese medicine, herbal medicine, assay and treatment are the main items that caused the Changes in Outpatient income structure . The Degree of Structure Variation of Hospitalization income was 13.64% from 2012 to 2015, health material income, Western medicine income, Chinese medicine income, surgical income, laboratory income are the main items that effect medical income. Conclusion The income of pharmaceuticals and health materials is the main item influencing the medical income. The proportion of inspection laboratory income is relatively high and labor service income is relatively low. The management department should further strengthen the supervision of pharmaceuticals and medical materials , improve the labor service income of medical personnel and further Strengthen the optimization of medical income structure |
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