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目的探讨调整医疗服务价格收费标准对病人住院费用的影响。方法对成都市某三级甲等医院在医疗服务价格收费标准调整前后的病人住院费用变动情况进行分析。结果执行新的医疗服务价格收费标准后,病人例均住院费用由7725元上升至8603元(+11.37%),其中药品费由3074元上升至3411元,上升了337元(+10.97%),药品比例由39.79%变动至39.65%,仍居高不下;材料费上升482元(+87.92%);检查治疗费下降188元(-8.80%),床位费下降108元(-21.51%)。结论此次新的医疗服务价格收费标准的实施尚未达到预期降低医疗费用,调整医院医疗收入结构的效果。有效降低医疗费用,除调整医疗服务收费价格外,政府有关部门还应加强对药品和医用材料的合理定价和监管工作。
Objective To explore the impact of adjusting the price of medical service charges on the hospitalization expenses of patients. Methods The change of the hospitalization expenses of the patients before and after the adjustment of the medical service price in a third grade hospital in Chengdu was analyzed. As a result, after the implementation of the new medical service price charge standard, the average patient hospitalization fee rose from 7,725 yuan to 8,603 yuan (+11.37%), of which the drug fee rose from 3,074 yuan to 3,411 yuan, an increase of 337 yuan (+10.97%). The proportion of drugs changed from 39.79% to 39.65%, which remained high; the material cost rose by 482 yuan (+87.92%); the inspection and treatment fee decreased by 188 yuan (-8.80%), and the bed fee decreased by 108 yuan (-21.51%). Conclusion The implementation of the new medical service price charging standard has not yet reached the expected effect of reducing medical expenses and adjusting the hospital’s medical income structure. To effectively reduce medical expenses, in addition to adjusting the prices of medical services, relevant government departments should also strengthen the rational pricing and supervision of drugs and medical materials.