摘要
背景:我国公立医院医生服务收入占比相对低,国家正在建立医疗服务价格调整机制,引导其进入合理区间。目的:对三明市自2013年实施医疗服务价格改革后县级及以上公立医院医药收入结构变化情况及其影响因素进行分析,分析其改革成效,为其下一步改革工作提供实证依据。方法:通过结构变动度和灰色关联分析方法对三明市2013年至2023年医疗机构运行数据进行分析。结果:2013~2023年,三级、二级公立医院医药收入结构变动度分别为5.91%和5.60%;三级公立医院医疗服务收入的贡献率为40.83%,非医疗服务性收入的贡献率为59.17%,二级公立医院上述指标分别为44.15%和55.85%;2023年三明市三级公立医院医药收入结构中,检查收入与医药收入结构的关联程度最大,二级公立医院中,化验收入与医药总收入的关联程度最大。结论:三明市医疗服务价格改革有效地提升了医疗服务收入占比,体现了技术劳务价值的增加。同时,药品耗材收入占比的下降为优化收入结构创造了空间,检查化验收入的减少显示了对过度检查的控制效果。
Background The income proportion of doctors in public hospitals in China is relatively low.A medical service price adjustment mechanism is establishing to guide it into a reasonable range.Objective To analyze the changes in the structure of medical income and influencing factors in public hospitals at the county level and above in Sanming since the implementation of medical service price reform in 2013,assess the effectiveness of the reform,and provide empirical evidence for its next phase of reform.Methods Methods of degree of structural variation and grey correlation analysis were used to analyze the operation data of medical institutions in Sanming from 2013 to 2023.Results From 2013 to 2023,the structural change coefficient of medical income in tertiary public hospitals and secondary public hospitals was5.91%and 5.60%,respectively.For tertiary public hospitals,the contribution rate of medical service income and non-medical service income was 40.83%and 59.17%,respectively.And for secondary public hospitals,it was 44.15%and 55.85%,respectively.In 2023,the correlation between the check income and the structure of medical income in tertiary public hospitals in Sanming was the highest,while the correlation between the test income and the total medical income was the highest in secondary public hospitals.Conclusion The medical service price reform in Sanming has effectively increased the proportion of medical service income,reflecting the increase in the value of technical and labor services.At the same time,the decline in the proportion of revenue from drug and consumables has created space for optimizing the revenue structure,and the reduction in inspection and laboratory income has shown the effect of controlling overexamination.
作者
宋琦
陈敏霞
杨燕绥
Song Qi(School of Public Health,Shanghai Jiao Tong University,Shanghai,P.R.China)
出处
《中国卫生事业管理》
北大核心
2025年第11期1201-1205,1211,共6页
Chinese Health Service Management
基金
国家社会科学基金重大项目“实现积极老龄化的公共政策及其机制研究”(17ZDA121)。
关键词
医疗服务价格改革
结构变动度
灰色关联分析
medical service price reform
structural variation method
grey correlation analysis
