| 摘要: |
目的 通过比较分析城市公立医院综合改革前后安徽省某三甲医院住院费用情况，了解城市公立医院综合改革政策的实施情况，分析城市公立医院综合改革对不同科室患者住院费用的影响。方法 收集、整理安徽省某三甲医院2014年4—9月和2015年同期住院病人资料，选取内、外、妇、儿科各3种典型疾病，比较其改革前后各项费用及结构变化。结果 城市公立医院综合改革前后住院费用整体上呈现下降趋势，但各个科室的住院费用变化不一。住院费用结构趋于合理，但材料费用仍居高不下。结论 城市公立医院综合改革有效降低了住院病人药品费用及检查费用，在整体上降低了住院费用。同时，住院费用结构较改革前更为合理，但不同科室住院费用的变化不尽相同，仍存在一些问题。 |
| 关键词: 城市公立医院 综合改革 住院费用 药品零差率 |
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| Comparative Analysis of the Hospitalization Expenses Before and After the City-level Public Hospital Reform :Taking a Third-level Grade-A Hospital in Anhui Province as an Example |
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| Abstract: |
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Objective To understand the present situation of city-level public hospital reform and to analyze the impacts on different clinical departments by analyzing the changes of hospitalization expenses of a third-level grade-A hospital from Anhui Province. Methods The inpatient data from April to September, 2014 and 2015 of the third-level grade-A hospital were collected. Three typical diseases in Department of Internal Medicine，Surgery，Gynecology and Pediatrics respectively，were chosen to compare the changes of expenses and the structure before and after the reform. Results Overall，hospitalization expenses saw a declining trend after city-level public hospital reform. But，it was different in each department. The structure of hospitalization expenses became more reasonable after reform，however，the medical material expense remained a question. Conclusion The city-level public hospital reform reduced drug costs and inspection fees for inpatients effectively，thereby abating the overall cost of hospitalization，and the structure of hospitalization expenses becomes more reasonable. But the changes of hospitalization expenses in different departments reflected some problems. |
| Key words: city-level public hospital,comprehensive reform,hospitalization expenses, drug zero bonus |
