某市住院病例医疗费用5年增长情况分析

Analysis on the Increasing Rate of Inpatient's Medical Expenditure in 5 Years

目的:探讨近5年来医疗费用增长速度,了解各费别、各病例分型、各等级医院住院病例医疗费的分布特点。方法:用SAS6.12统计分析软件对我国南方某市21万条住院病例进行分析。结果:5年中医疗费用平均增长速度为16.32%,药品费、检查费、治疗费平均增长速度分别为14.54%、22.40%、17.26%;A、B、C、D分型病例的医疗费5年平均增长速度分别为10.98%、11.51%、20.75%;二级和三级医院住院病例的医疗费5年平均增长速度分别为1.26%、18.67%。药品费、检查费、治疗费及总费用、4种分型病例的医疗费、三级医院住院病例的医疗费在5年中的分布均有差异、检查费、D型病例的医疗费和三级医院住院病例的医疗费4个重要的费用增长点,完善评价、管理制度,适量控制费用增长。

Objective To discuss the increasing rate and the distribution features of inpatients' medical expenditure in nearly 5 years. Methods To analyze the data with nearly 210 000 cases collected from one southern city of China in the last 5 years. Results The average increasing rate of inpatients' medical expenditure was 16.32%during the 5 years. The average increasing rates of medicine cost, check-up cost and therapy cost were 14.54%, 22.40%, 17.26%respectively. There are significant differences for medicine cost, check-up cost, therapy cost, medical expenditure of 4 case classifications, medical expenditure of third-grade hospitals in 5 years. All of them have increasing trends. Conclusion The four important increasing factors, namely, medicine cost, check-up cost, medical expenditure of 4 case classifications and medical expenditure in third-grade hospitals should be controlled reasonably, Furthermore, measurement should be taken to perfect the system of evaluation and management, in order to control the increasing rate of medical expenditure.