基于结构变动度和灰色关联法2015-2019年公立中医医院医疗收入分析
DOI:
作者:
作者单位:

南京医科大学医政学院

作者简介:

通讯作者:

中图分类号:

基金项目:


Analysis of medical income of public traditional Chinese medicine hospitals from 2015 to 2019 based on structural change degree and grey relevancy method
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    目的:分析公立中医医院收入结构变动情况及趋势,找出影响医疗收入结构变动的主要因素,旨在促进公立中医医院优化医疗收入结构,为后续公立中医医院综合改革提供科学依据。方法:收集某省2015-2019年所有公立中医医院医疗收入数据,并运用结构变动方法和灰色关联法分别分析门急诊收入和住院收入的收入结构情况。结果:2015-2019年中医医院门诊收入结构变动度为12.4%,中成药、诊察、检查是构成门诊收入变动的主要来源;住院收入结构变动度为21.5%,西药、卫生材料、化验是构成住院收入变动的主要来源。与中医医院门急诊收入关联度较大的前三位是西药、中草药和化验收入,与住院收入关联度较大的前三位是手术、床位和治疗收入。结论:中医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,中医院医疗服务价格调整滞后;卫生材料收入造成了较多的住院收入结构变动。建议:一是,继续推行药品和耗材集中带量采购政策;二是,完善中医医疗服务价格动态调整机制;三是,医院自身加强经济管理,发挥中医特色优势。

    Abstract:

    Objective: to analyze the change and trend of income structure of public traditional Chinese medicine hospitals, find out the main factors affecting the change of medical income structure, in order to promote public traditional Chinese medicine hospitals to optimize the medical income structure and provide scientific basis for the follow-up comprehensive reform of public traditional Chinese medicine hospitals. Methods:the medical income data of all public traditional Chinese medicine hospitals in a province from 2015 to 2019 were collected, and the income structure of outpatient and emergency income and inpatient income were analyzed by structural change method and grey relevancy method.Results:from 2015 to 2019, the change degree of outpatient income structure of traditional Chinese medicine hospital was 12.4%. Chinese patent medicine, diagnosis and examination were the main sources of outpatient income change;the change degree of inpatient income structure of traditional Chinese medicine hospital was 21.5%. Western medicine, health materials and laboratory were the main sources of inpatient income change.The top three with high relevancy with outpatient and emergency income of TCM hospitals are western medicine, Chinese herbal medicine and laboratory income, and the top three with high relevancy with hospitalization income are operation, bed and treatment income.Conclusion:the proportion of Western medicine income in traditional Chinese medicine hospitals is high, and the proportion of Chinese herbal medicine income increases year by year; The increase of medical service income is slow, and the adjustment of medical service price in traditional Chinese medicine hospital lags behind; The income from health materials has caused more changes in the structure of hospitalization income. Suggestions: first, continue to implement the policy of centralized procurement of drugs and consumables; Second, improve the dynamic adjustment mechanism of TCM medical service price; Third, the hospital should strengthen economic management and give full play to the characteristic advantages of traditional Chinese medicine.

    参考文献
    相似文献
    引证文献
引用本文
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2021-11-02
  • 最后修改日期:2021-12-16
  • 录用日期:2022-02-22
  • 在线发布日期:
  • 出版日期: