某公立医院2005~2014年住院收入趋势的因素分析

Analysis on the Factors of Hospitalization Revenue Trend in a Public Hospitals from 2005 to 2014

目的:探讨公立医院近10年住院收入的发展变化,为合理控制医疗费用的过快增长并减轻患者经济负担提供依据。方法:获得黑龙江省某公立医院2005—2014年共10年医院住院收入数据,采用因素分析法分析其变化趋势及住院费用的影响因素。结果:住院收入逐年上涨,2005—2014年医院住院收入增长了392%。十年内医院收入增长的直接因素是床位数量的增加和人均医疗费用的增加。结论:人均住院费用的增长将耗用更多的医疗保障资金,需要我们在提高医疗水平和控制医疗保障支出及减少患者费用之间找到一个平衡点。

Objective： To discuss the development changes of the hospitalization revenue of public hospitals in the past 10 years, to provide the basis for the reasonable control of the medical expenses and reduce the economic burden of the patients. Methods： The 2005-2014 hospitalization revenue data of a public hospital in Heilongjiang were collected. The changing trend and influencing factors of hospitalization expense were analyzed by factor analysis method. Results： The hospitalization revenue increased by years. The hospi- talization revenue increased by 392% from 2005 to 2014. The direct factors for the increase of hospital income in the past 10 years were the increases of bed number and average medical cost. Conclusion： The average hospitalization cost growth would consume more medical security funds, which needed to find a balance among improving the level of health care, controlling the medical security ex- penditure and reducing costs for patients.