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目的:了解医院住院患者住院费用构成情况及增长的主要原因,为提高医院管理效率及控制医疗费用的过快增长提供科学依据。方法:分析2010年1月至2012年12月某三甲中医院出院患者的费用资料,摘录相关信息建立数据库进行统计分析。结果:3年间的人均及日均住院费用分别增加了16.45%、19.79%。药占比虽然有所下降,但药品费在持续增长,且治疗费、检查费的增长速度过快,是住院费用增长的主要因素。结论:政府应通过完善制度、政策补偿等方面,积极引导医院承担社会责任。医院也应通过提高医院服务效率,加强监督和内部管理以及充分发挥中医药简便验廉的特色优势,努力降低住院患者的日均住院费用及例均住院费用。
OBJECTIVE: To understand the composition and growth of inpatients’ inpatient hospital expenses and provide the scientific basis for improving the hospital management efficiency and controlling the excessive growth of medical expenses. Methods: The cost data of patients discharged from a SJTU from January 2010 to December 2012 were analyzed. Relevant information was excerpted to establish a database for statistical analysis. Results: Per capita and daily hospitalization expenses increased by 16.45% and 19.79% respectively over the three years. Although the proportion of medicine has declined, but the drug costs continue to grow, and treatment fees, examination fees, the growth rate is too fast, is the main factor in hospital expenses increased. Conclusion: The government should actively guide the hospital to assume social responsibility by improving the system and policy compensation. Hospitals should also strive to reduce the average daily hospitalization costs and the average hospitalization costs of inpatients by improving the efficiency of hospital services, strengthening supervision and internal management, and giving full play to the unique advantages of traditional Chinese medicine.