实施医用耗材零加成政策后我院患者医疗费用情况分析

Analysis of Medical Expenses of Patients in our Hospital After the Implementation of the Zero plus Policy of Medical Consumables

目的观察实施医用耗材零加成政策后本院患者医疗费用情况分析。方法抽取本院2020年1~12月实施医用耗材零加成政策后患者的医疗费用情况(研究组)。另外,选取2019年1~12月未实施医用耗材零加成政策前本院患者的医疗费用情况(对照组)。对实施医用耗材零加成政策前后本院的医疗收入、医用耗材收入、高值医用耗材收入、耗占比、人均耗材费用、每诊疗平均人次费用、每一出院患者平均总费用、每一出院患者平均医用耗材费用、每一出院患者日平均费用、每一出院患者日平均医用耗材费用进行汇总、比较,并对相关数据进行分析,目的是为实施医用耗材零加成政策对减轻患者就医负担以及公立医院改革的成效提供理论依据。结果研究组中对于门诊患者的费用分析上医疗收入、医用耗材收入、高值医用耗材收入、耗占比、人均耗材费用、每诊疗平均人次费用相比均低于对照组,差异具有统计学意义(P<0.05)。研究组中对于其住院患者的费用分析上医疗收入高于对照组,而在医用耗材收入、高值医用耗材收入、耗占比、每一出院患者平均总费用、每一出院患者平均医用耗材费用、每一出院患者日平均费用、每一出院患者日平均医用耗材费用相比均低于对照组,差异具有统计学意义(P<0.05)。结论对于在实施了医用耗材零加成政策后,本院患者医疗费用情况分析中发现,该措施实施后,降低了耗占比,减少了患者费用,并明显提升了本院的总体门急诊医疗收入。

Objective To observe and analyze the medical expenses of patients in our hospital after the implementation of the zero plus policy of medical consumables.Methods The medical expenses of patients after the implementation of the zero plus policy of medical consumables in our hospital from January to December 2020(Research Group)and the medical expenses of patients in our hospital before the zero plus policy of medical consumables was implemented from January 2019 to December 2019(control group)were collected and analyzed,to summarize and compare the medical income,medical consumables income,high-value medical consumables income,consumption proportion,per capita consumables cost,average person time cost per diagnosis and treatment,average total cost per discharged patient,average medical consumables cost per discharged patient,average daily cost per discharged patient and average daily medical consumables cost per discharged patient before and after the implementation of the zero plus policy of medical consumables,and to analyze the relevant data.The purpose is to provide a theoretical basis for the implementation of the zero plus policy of medical consumables to reduce the medical burden of patients and the effectiveness of the reform of public hospitals.Results In the cost analysis of outpatients in the study group,the medical income,medical consumables income,high-value medical consumables income,consumption proportion,per capita consumables cost and average person time cost per diagnosis and treatment were lower than those in the control group,and the difference was statistically significant(P<0.05).In the cost analysis of inpatients in the study group,the medical income was higher than that in the control group,while the medical consumables income,high-value medical consumables income,consumption proportion,average total cost of each discharged patient,average medical consumables cost of each discharged patient,average daily cost of each discharged patient and average daily medical consumables cost of each discharged patient were lower than those in the control group,and the difference was statistically significant(P<0.05).Conclusion After the implementation of the zero plus policy of medical consumables,it is found that after the implementation,the proportion of consumption was reduced,the cost of patients was reduced,and the overall outpatient and emergency medical income of our hospital was significantly increased.