宁夏地区公立医院住院病人人均医疗费用变化趋势分析

Analysis on variation trend of inpatient per capita medical expenses in public hospital in Ningxia

[目的]分析宁夏地区公立医院2014-2018年住院病人人均医疗费用关联度及结构变动情况,为控制医疗卫生费用的不合理增长、完善控费机制提供实证参考依据。[方法]分析描述2014-2018年住院病人人均医疗费用的总体变化趋势,并采用新灰色关联度与结构变动度的方法分析宁夏地区2014-2018年住院病人人均医疗费用结构变动情况。[结果]5年间住院病人人均医疗费用中,药品费关联最大(1.000000),其次是卫生材料费(0.898026);2014-2018年宁夏地区住院病人人均医疗费用总结构变动度是27.88%,年平均结构变动度为5.58%;对宁夏地区住院病人人均医疗费用的结构变动贡献影响最大的是药费(占比50.04%),其次是卫生材料费(占比19.44%)。[结论]药品零加成政策实施有成效,药费、卫生材料费是影响住院病人人均医疗费用的主要项目,体现医务人员劳动价值的费用占比较低。

Objective Analyze the relevance and structural changes of inpatient per capita medical expenses in public hospital in Ningxia from 2014 to 2018 so as to provide empirical reference basis for controlling unreasonable growth of medical and health expenses and improving the mechanism of controlling expenses.Methods The analysis described overall change trend of inpatient per capita medical expenses from 2014 to 2018,and analyzed the change of inpatient per capita medical expense structure in Ningxia from 2014 to 2018 by the method of new gray correlation and structural change.Results Among inpatient per capita medical expenses in the past 5 years,the drug cost had the largest correlation(1.000000),followed by the cost of health materials(0.898026).From 2014 to 2018,total structural change of inpatient per capita medical expenses in Ningxia was 27.88%,and annual average structural change degree was 5.58%.The most significant contribution to the structural change of inpatient per capita medical expenses in Ningxia was medicine costs,accounted for 50.04%,followed by health materials costs,accounted for 19.44%.Conclusions The implementation of zero-addition drug policy has been effective.The cost of medicine and health materials are main items that affect inpatient per capita medical cos.The cost of reflecting labor value of medical personnel accounts for relatively low proportion.