基于结构变动度的浙江某三甲医院医疗收入分析

Analysis of medical income of a tertiary hospital in Zhejiang based on degree of structural variation

目的研究2016—2019年浙江某三甲医院医疗收入变动的趋势和特征,寻找影响医疗收入变动的主要因素,为该院合理控制医疗收入增长和进一步优化收入结构提供可行的建议。方法运用结构变动度分析法对数据进行分析。结果影响2016—2019年门诊收入结构变动的主要5个项目为西药收入、其他收入、化验收入、中成药收入和检查收入;影响2016—2019年住院收入结构变动的主要5个项目为西药收入、材料收入、手术收入、化验收入以及其他收入。结论药品收入和化验收入是影响该院医疗收入结构变动的主要因素,卫生材料收入和医疗服务类收入的占比存在不合理之处,医院管理部门应采取合理的措施来优化医疗收入结构。

Objective To study the trend and characteristics of medical income change of a tertiary hospital in Zhejiang province from 2016 to 2019,to find the main factors affecting the medical income change,and to provide feasible suggestions for the hospital to optimize the income structure.Methods The data were analyzed by structural variability analysis.Results The main five items affecting the change of outpatient income structure from 2016 to 2019 were western medicine income,other income,laboratory income,Chinese patent medicine income and examination income.The main five items affecting the change of inpatient income structure from 2016 to 2019 were western medicine income,material income,surgery income,laboratory income and other income.Conclusion The drug income and the laboratory income are the main factors affecting the change of the medical income structure of the hospital.The proportion of health material income and medical service income is unreasonable.The hospital management department should take reasonable measures to make the medical income structure more reasonable.