医疗服务价格调整对医院运营的影响分析

Impact of price adjustment of medical services on hospital operation

目的:了解取消药品加成、医疗服务价格调整对医院收入及其结构的变化影响,为加强医院财务及价格管理、控制医疗费用、调整收入结构提供科学的决策依据。方法:通过收集执行取消药品加成、医疗服务价格调整政策后的某医院连续3个月的门诊和住院费用数据,对新、旧收费标准下医疗收入的差异和增减率,以及医疗收入的结构变化进行比较分析,同时测算对门诊诊次费、住院例均费、药品比例、平均住院日的影响。结果:取消药品加成、进行价格调整后,医疗收入结构实现优化,医院的药品比例明显下降,平均住院日缩短,门诊和住院例均费用下降,病人负担减轻。结论:取消药品加成、价格调整后,符合总量控制、结构调整原则,体现医务人员技术劳务价值、技术难度和风险程度的医疗服务项目提高,符合公立医院新医改政策要求。

Objective: To understand the impact of cancelling drug additions and adjusting medical service prices on the changes of hospital income and its structure, and to provide a scientific decision-making basis for strengthening hospital financial and price management, controlling medical expenses and adjusting income structure. Methods: The data of outpatient and hospitalization expenses of a hospital for three consecutive months after the policy of cancelling drug additions and adjusting medical service prices was collected. The difference and rate of increase and decrease of medical income under the new and old charging standards, as well as the structural change of medical income were compared and analyzed. Meanwhile, the effects of outpatient visiting fees, average hospitalization fees, drug proportion and average hospitalization days were estimated. Results: After cancelling drug additions and adjusting prices, the structure of medical income was optimized, the proportion of drugs in hospitals decreased significantly, the average length of stay shortened, the average cost of outpatient and inpatient cases decreased, and the burden of patients reduced. Conclusion: After cancelling drug additions and price adjustment, the medical service items conform to the principles of total quantity control and structural adjustment, and reflect the improvement of medical staffs technical labor value, technical difficulty and risk degree, and meet the requirements of the new medical reform policy of public hospitals.