银川市某三级甲等公立医院住院收入趋势的影响因素分析

Influencing Factors of Hospital Income of a Grade 3A Public Hospital in Yinchuan City

目的探讨宁夏回族自治区银川市某三级甲等公立医院2012—2017年住院收入的变化趋势和影响因素,为有效控制不合理医疗费用增长提供依据。方法采用因素分析法,以2012年为基期,2017年为报告期,分析该院2012—2017年住院收入的结构、变化趋势、住院医疗效率,利用因素分析法定量分析相关联的指标对住院收入的影响程度。结果样本医院在此期间的住院收入呈逐年上升趋势,且日均费用及出院人数是影响收入的主要与次要因素。结论医院应在保证患者得到有效、安全、高质量的医疗服务的前提下尽可能的减少患者的日均费用,增加出院人数。在保证控制医疗费用的同时提高医院的医疗服务效率,使医院不仅达到经济效益最大化,同时保证其社会效益。

Objective To explore the trend and influencing factors of hospital income of a Grade 3 A public hospital in Yinchuan City, Ningxia Hui Autonomous Region from 2012 to 2017, and to provide the basis for effectively controlling the increase of unreasonable medical expenses. Methods Factor analysis method was used. The year 2012 was used as the base period and the year 2017 was as the reporting period. The structure of the hospital income, change tread, hospitalization efficiency were analyzed, and the method factor analysis was used to make quantitative analysis of the impact of related indicators on the degree of hospital income from 2012 to 2017. Results The hospitalization income of the sample hospital increased year by year during this period, and the average daily expenses and discharge number were the main and secondary factors affecting the income. Conclusion On the premise of ensuring that patients receiving effective, safe, and high-quality medical services, the average daily expenses of patients should be reduced as much as possible, and the number of discharged patients should be increased. The efficiency of the hospital’s medical services should be improved while ensuring the control of medical expenses should be controlled. On the premise of ensuring that patients receive effective, safe, and high-quality medical services, the average daily expenses of patients should be reduced as much as possible, and the number of discharged patients should be increased, so that the hospital can not only maximize the economic benefits, but also ensure its social benefits.