成都市2002～2006年医疗费用控制效果评价.pdfVIP

(中国卫生质量管理)第15卷第2期(总第81期)2008年3月 成都市2002～2006年 医疗费用控制效果评价 ◇杨建南 雷跃昌 李世云 卢洪岩 阎 梅 刘勇华 钟 鸣 【摘 要】 目的 评价成都市医疗费用控制效果。方法 采用时间序列法和秩和比法对成都市2002—2006年门 诊与住院医疗费用控制效果进行评价。结果 自2004年起，门诊与住院费用环比增长幅度明显下降。2006年门诊病人 例均费用较2005年环比呈负增长(一1．9％)，2006年门诊与住院医疗费用环比增长幅度均低于当年城镇居民人均可支 配收入以及农村居民人均纯收入的环比增长幅度。结论 成都市通过开展医院管理年活动，提高了综合管理效应，医疗 费用的增长幅度得到有效控制，在一定程度上缓解了人民群众“看病贵”的难题。 【关键词】 医疗费用；增长幅度；控制；效果评价 Evaluation of the Effect of Chengdu Medical Expenditure Control from year 2002 to 2006／ ANG Jim ．LEI Yuechang，LI Shiyun，et a1．／／Chinese Health Quality Management，2008，15(2)：34—35，43 Abstract Objective To evMu~e the effect of medical expenditure control of Chengdu City from year 2002 to 2006．Re- suits The cycle—increase rate of outpatient and in—hospital patients’medical expenditure decreased obviously since 2004．The average medical cost of every outpatient in 2006 has negative cycle—increase compared with 2005(一1．9％)．The cycle—increas rate of both the clinic and the in—hospital patients’expenditure in 2006 were lower than that of either the increment of available in— come per·person of downtown or the increment of peasant per capita net income in Chengdu City．Methods Apply time series and rank sum ratio method to evalu~e the effect of medicd expenditure gontrol in Chengdu from year 2002 to 2006 Conclusion The comprehensive manage ment effect was improved，the medical expenditure increase was controlled effectively and the people’ S problems of expensive medical charges was relieved through taking a series of effective measures and carrying out the activity of hospital management year in chengdu． Key words Medical expenditure；Growth rate；Control；Effect evaluation First-authors address Chengdu Renter Hospital of Siehuan Province，Chengdu，Sichuan，6 1008 1，China 改革开放以来，我国卫生事业取 1 资料与方法 (RSR) 对医疗费用变动情况进行综 得了巨大发展，原有的“三难”(看病 合评价