新疆某三甲医院2005-2012年住院费用结构变动度分析

Analysis on the Structure Variation of Hospitalization Expenses from 2005 to 2012 in a Tertiary–level Hospital in Xinjiang

目的:了解导致我院近年来住院费用增长的主要因素,以采取相应措施控制医疗费用不合理增长。方法:收集我院2005—2012年的患者次均住院费用,采用结构变动度方法进行分析。结果:(1)药品费是住院费用各年度中变动最活跃的项目,且以负向变动为主;(2)导致住院费用增长的主要因素是化验费的增长,但体现劳动力技术价值的费用项增长不明显。结论:我院住院费用的增长仍存在结构的不合理,尚需进一步采取控制药占比、提高医务人员技术相关费用等措施予以改善。

Objective： To understand the main factors of the increase of hospitalization expenses in recent years in the hospital, in order to take appropriate measures to control the unreasonable growth. Methods： Collected the average hospitalization expense from 2005 to 2012 in the hospital and analyzed it by the degree of structure variation method. Results： （1） Drug expenses was the biggest change in hospitalization expenses in each year, and the main changing was negative; （2） it is showed that the main factors of the increase of hospitalization expenses was the growth of laboratory fee, however, the cost reflecting technology value was not obviously increasing. Conclusion： The structure in growth of our hospitalization expenses was still unreasonable, and needed to take further measures to control drug proportion, improve technology-related expenses for medical staffs and so on.