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目的从供方角度了解银川市急性心肌梗死住院患者救治情况,并对其救治效果进行评价。方法采用描述性分析和数据包络分析对银川市3家医院2012—2014年的急性心肌梗死救治工作情况、住院费用的构成、投入-产出效率等进行综合分析。结果材料费用和西药费用是银川市急性心肌梗死住院费用的主要构成;手术费和输血费略有降低;中药费用一直很低,只占住院总费用很少一部分。3家样本医院中有2家三年之间其总体效率较高,而其中1家医院效率较低。结论应加强合理用药管理,适度控制药品费用和材料费用;通过优化资源配置来继续提高银川市急性心肌梗死住院患者救治的医疗质量。
Objective To understand the treatment of hospitalized patients with acute myocardial infarction in Yinchuan City from the supplier’s perspective and to evaluate the treatment effect. Methods Descriptive analysis and data envelopment analysis were used to analyze the treatment of acute myocardial infarction in 2012-2014 in Yinchuan City, the composition of hospitalization expenses, input-output efficiency and so on. Results The cost of materials and western medicine were the main components of the hospitalization expenses of acute myocardial infarction in Yinchuan City. The costs of operation and blood transfusion were slightly reduced. The cost of Chinese medicine was always low, accounting for only a small part of the total cost of hospitalization. Two of the three sample hospitals had higher overall efficiency over three years, while one of the three hospitals was less efficient. Conclusion The rational drug administration should be strengthened to control the cost of medicines and materials appropriately. The quality of medical care for hospitalized patients with acute myocardial infarction in Yinchuan should continue to be improved by optimizing the allocation of resources.