医改前后某传染病医院门诊及住院指标比较分析

A comparative analysis of outpatient and inpatient indexes in infectious disease hospital before and after medical reform

目的统计分析某传染病医院实施医药分开综合改革8个月后门诊及住院等指标与近4年数据对比情况,分析传染病医院落实医改的效果,探讨传染病医院建设方向。方法主要采用数据分析法对某传染病医院2013年以来门诊及住院等指标进行比较分析,观察改革后指标变化与既往年均变化的差异。结果在实施医药分开综合改革后,某传染病医院的门诊总人次、副主任医师门诊人次、主任医师及知名专家门诊人次、住院例均药费等首次出现负增长;普通门诊人次和住院人次增幅放缓;门诊次均药费降幅明显扩大。结论医药分开综合改革促进分级诊疗,推进门诊次均药费和住院例均药费下降,推动传染病医院转型发展。

Objective To analyze and discuss the effect of the implementation of medical reform and the construction and development trend of infectious disease hospital.Methods Based on a comparative analysis of the outpatient and inpatient indexes in a infectious disease hospital since 2013,the changes of various medical index data in previous years and after reform were observed.Results After medical reform was implemented in the infectious disease hospital,medical index data including total outpatient visits,associate chief physician outpatient visits,chief physician outpatient visits,well-known experts outpatient visits and medicine expense per hospitalized case showed a negative growth for the first time;the growth of general outpatient visits and inpatients was slow,and medicine expense per outpatient services decreased significantly.Conclusions “Separation of Prescribing and Dispensing”comprehensive reform promotes the grading diagnosis and treatment,reduces the medicine expenses per outpatient service and hospitalized case,and accelerates the transformation and development of infectious diseases hospitals.