Structural evaluation of 2014-2016 hospitalization expenses in a grade Ⅲ level A general hospital based on structural variability degree
FENG Jun1 LI Yingli1,2▲ XU Tingting1 GAO Hongda1 QIN Xianjing1 FENG Qiming1 WANG Jianzheng3
1.School of Information and Management, Guangxi Medical University, Guangxi Zhuang Autonomous Region, Nanning 530021, China;
2.School of Humanities and management, Guilin Medical College, Guangxi Zhuang Autonomous Region, Guilin 541004, China;
3.Guangxi Zhuang Autonomous Region Health and Family Planning Commission, Guangxi Zhuang Autonomous Region, Nanning 530021, China
Abstract：Objective To analysis the trend and characteristics of hospitalization expenses structure change in a grade Ⅲ level A general hospital, and provide evidence for the unreasonable increase of hospitalization expenses. Methors The hospitalization expenses of patients in a grade Ⅲ level A general hospital from 2014 to 2016 were collected by analyzing the structure changes value, degree of structure variation and structure contribution rate. Results The total hospitalization expenses of the top three hospitals increased year by year from 2014 to 2016, but the growth rate decreased. The proportion of medical expenses and medical materials expenses accounted for the total hospitalization expenses of top 2. The value of negative changes in structure of 2014-2016 medicine fees, examination fees, examination fees, bed charges, treatment fees and nursing; value positive changes in the structure of health laboratory fees, material fee, operation fee and other expenses. The cost of medicine and medical materials contribute greatly to the change of hospitalization expenses. The cumulative contribution rate of these 2 items was 47.06%. Conclusion Expenses control policies for medicine has achieved initial success, but the proportion of medicine expenses is still high which still need to strengthen the medicine expenses control. The structure of hospitalization expenses is unreasonable. The proportion of medical materials and laboratory fees are high. However, the cost of operation and nursing care which reflects the technical labor value of medical staff is relatively low. Expenses structure needs to be adjusted and optimized.
2018, Vol. 15 
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