Page 93 - 南京医科大学学报社科科学版
P. 93
第1期 总第108期 南京医科大学学报(社会科学版)京医科大学学报(社会科学版)
南
2022年2月 Journal of Nanjing Medical University(Social Sciences)of Nanjing Medical University(Social Sciences) · 87 ·
Journal
结构变动分析[J]. 卫生软科学,2018,32(2):34-39 [17] 张远妮,姚奕婷,邹俐爱,等. 广东省综合性公立医院
[14] 李芬,王瑾,陈多,等. 建立符合中医药服务运行特点 住院费用控制策略探讨:基于灰色关联和结构变动度
的中医医院补偿机制[J]. 中国卫生政策研究,2016,9 分析[J]. 中国卫生经济,2019,38(2):21-23
(4):44-48 [18] 杨勇,刘黎明,朱桂荣,等. 北京市医药分开和医耗联
[15] 卫陈,徐州,王安,等. 我国 2017 年中医类医院收入结 动综合改革对中医服务的影响评估[J]. 中国卫生经
构及地区差异性分析[J]. 卫生软科学,2020,34(12): 济,2021,40(2):22-25
40-45 [19] 蔡文辉. 公立医院绩效管理的实践与 DRG 应用探索
[16] 陈珩. 广东省公立中医医院取消药品加成政策成效分 [J]. 财会学习,2021(26):146-148
析[D]. 广州:广州中医药大学,2020 (本文编辑:姜 鑫)
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
1
1
1
1
SONG Jiaming ,WANG Xinyuan ,XU Jiamiao ,LIU Jian ,HUANG Xiaoguang 1,2
1. School of Health Policy and Management,2. Institute of Healthy Jiangsu Development,Nanjing Medical University,Nanjing
211166,China
Abstract: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.
Key words:public Traditional Chinese Medicine hospital;income structure;structural change degree;
grey relevancy analysis

