医疗项目直接成本构成对医疗成本的影响

目的:分析门诊、临床诊疗、手术、医技诊疗四大类医疗服务项目的直接成本构成,对医疗成本的控制重点和价格结构调整的方向提出建议。方法:以不同级别非营利性综合医院医疗服务过程中消耗的物质与人力成本资料为数据来源,采用构成比分析各医疗服务项目直接成本构成。结果:不同级别医院成本构成各异,人员费用比重随医院级别降低而增加,省、地级医院医用材料消耗比重较大。结论:医院应优化人力资源配置,控制材料成本支出。

The Influence of Composition of the Direct Cost of Medical Service Items on Medical Cost

Objective to give suggestions on the key point of medical cost control and adjustment direction of the structure of the medical service price.Materials and methods:Based on the survey of the material and human resources cost in the medical service of various level non-profit hospitals and analyses composition of the direct cost from the four kinds of items.Results and discussions:Cost structure differs in hospitals at different levels and in provincial hospitals,staff cost and equipment cost are the most important parts.We should optimize human resources collocation and control materials cost.