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新形势下某三甲公立医院控费体系效果评价 认领

Evaluation of the effect of cost control system in a GradeⅢpublic hospital under the situation of new medical reform
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摘要 目的:分析评价某三甲公立医院综合控费体系各项具体措施的实施效果,为其他公立医院构建和完善费用控制体系提供参考。方法:采用回顾性分析和历史同期数据对比,运用描述性分析法对2015-2017年该院数据进行对比分析。结果:2015-2017年,该院总收入呈上升趋势;人事费用率从2015年26.10%下降到2017年25.85%,住院次均费用增长率从2015年1.97%增长到2017年2.64%,医务性收入增长率从2015年10.24%降至2017年8.28%,药占比下降3%左右,百元收入耗材支出呈逐年下降趋势;运营维护费用占医疗支出的比例2017年降至4.11%。结论:该院综合费用控制体系在提升医疗服务质量的同时有效控制了医疗费用的不合理增长,促进了费用结构优化。 Objective:To analyze and evaluate the implementation of various specific measures of the comprehensive fee control system of a top three public hospital,and to provide references for other public hospitals to construct and improve the cost control system.Method:Using retrospective analysis and historical data comparison,using descriptive analysis method to compare and analyze the data of the hospital from 2015 to 2017.Result:From 2015 to 2017,the total income of the hospital showed an upward trend;the personnel expense ratio fell from 26.10%in 2015 to 25.85%in 2017,and the average growth rate of the hospitalized secondary expenses increased from 1.97%in 2015 to 2.64%in 2017.Revenue growth rate fell from 10.24%in 2015 to 8.28%in 2017,the proportion of medicines fell by about 3%,and the expenditure of 100 yuan revenue and consumables showed a year-on-year downward trend;the ratio of operating and maintenance expenses to medical expenditure fell to 4.11%in 2017.Conclusion:The hospital’s comprehensive expense control system effectively controls the unreasonable growth of medical expenses while improving the quality of medical services,and promotes the optimization of the cost structure.
作者 冯涛 FENG Tao(Yidu Central Hospital of Weifang,No.4138,Linglongshan South Road,Qingzhou,262500,Shandong Province,PRC)
出处 《中国医院》 2020年第6期38-41,共4页 Chinese Hospitals
关键词 公立医院 费用控制体系 效果评价 public hospital cost control system effect evaluation
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