住院病例医疗费用5年增长速度分析

An Analysis on the Increasing Rate of Inpatients' Hospitalization Cases Medical Expenditure in the Late 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％、15.01％、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、四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,各种费用总体上均呈上升趋势;二级医院住院病例的医疗费在5年中分布差异无统计学意义。结论控制药品费、检查费、D型病例的医疗费和三级医院住院病例的医疗费四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。

Objects To discuss the increasing rate and the distribution features of inpatients' medical expenditure in the late 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 inpatient's medical expenditure was 16.32% during the 5 years.The average increasing rates between medicine cost,check-up and therapy cost were 14.54%,22.40% and 17.26% respectively.There are significant differences between medicine cost,therapy cost,medical expenditure of 4 case classifications and 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,measurements should be taken to perfect the system of evaluation and management,to control the increasing rate of medical expenditure.