农村地区三级医疗服务费用分析

Analysis of the Expenditure on Medical Services in Rural Area

根据贵州省卫生厅世界银行贷款卫Ⅳ项目,对贵州清镇市、福泉县的农村三级医疗部门的医疗费用进行连续一年的调查。结果表明:县一级门诊次均费用为17.90元,住院次均费用为819.23元;乡一级门诊次均费用为15.85元,住院次均费用为321.02元;村一级次均门诊费用为4.75元;门诊收入中药品比例乡一级为80.86％,高于县一级(66.54％),住院收入中药品比例也是乡级(64.56％)高于县级(41.43％);本研究结果可为制定适合当地集资医疗方案提供参考及为开展合作医疗后提供对比数据。

According to Guizhou Provincial Health Bureau of World Bank Loan Health Project IV , A continuous survey on the expenditure of rural 3-level healthy departments for 1 year made in two experimental counties, Qingzhen and Fuquan. The results have showed that the expenditure on medical services for an outpatient in County hospital per capita is 17.90 Yuan,the expendituie on medical services for an inpatient in hospital per capita is 723.61 Yuan.Township health centers expenditure of on outpatient medical services per capita is 15.85 Yuan,Township health centers expenditure on inpatient medical services per capita is 321.02 Yuan. Village health posts expenditure of on outpatient medical services per capita is 4.75 Yuan. The proportion drug to the outpatient income is 80.86% on Township a health center, that is higher than the county (66.54%). The peoportion of drug to the inpatient income is 64.56% on Township a health center, that is also higher than the county (41.43% ).This study may provide the suitable references for collecting money in two counties and offer the correlating data to develop CMS.