2015—2019年公立中医院医疗收入分析——基于结构变动和灰色关联法

Analysis of medical income of public Traditional Chinese Medicine hospitals from 2015 to 2019——based on the structural change degree and the grey relevancy method

对某省公立中医院收入结构变动特征及趋势开展分析,为深化医疗服务价格改革提供参考依据。基于全省2015—2019年所有公立中医院医疗收入数据,采用结构变动分析和灰色关联法分析门急诊和住院的收入结构情况。结构变动分析显示,中成药、诊察、检查是门诊收入变动的主要来源,西药、卫生材料、化验是住院收入变动的主要来源。灰色关联法显示,西药、中草药和化验收入与门急诊收入关联度较大,手术、床位和治疗收入与住院收入关联度较大。研究发现,中医院西药收入占比偏高,中草药收入占比逐年增加;医疗服务收入涨幅较慢,医疗服务价格调整滞后;卫生材料收入造成较多的住院收入结构变动。建议中医院自身加强经济管理,发挥中医特色优势;继续推行药品和耗材集中带量采购政策;完善中医医疗服务价格动态调整机制。

This paper analyzed the change characteristics and trend of income structure of public Traditional Chinese Medicine(TCM)hospitals in a province,so as to provide reference and basis for deepening the reform of medical service prices.Based on the medical income data of all public TCM hospitals in the province from 2015 to 2019,the income structure of outpatient,emergency and inpatient was analyzed by the structural change analysis and the grey correlation method.The structural change analysis showed that Chinese patent medicine,diagnosis and examination were the main sources of outpatient income change,while western medicine,health materials and laboratory were the main sources of inpatient income change.The grey correlation method showed that the income from western medicine,Chinese herbal medicine and laboratory tests had strong correlation with outpatient and emergency income,and the income from operations,beds and treatment had strong correlation with inpatient income.The study found that the proportion of western medicine income in TCM hospitals was high,and the proportion of Chinese herbal medicine income increased year by year.The increase of medical service income was slow,and the adjustment of medical service prices in TCM hospital lagged behind.The income from health materials had caused more changes in the structure of inpatient income.It is suggested that TCM hospitals should strengthen their own economic management and give full play to the characteristic advantages of TCM.The policy of centralized procurement of drugs and consumables should be promoted continuously.The dynamic adjustment mechanism of TCM medical service prices should be improved.