Analysis of medical expenses in public hospitals in Shandong Province after the elimination of drug price addiction
ZHOU Yue1 MO Yingning2
1.School of Medicine, Shandong University of Traditional Chinese Medicine, Shandong Province, Ji′nan 250300, China;
2.School of Management, Shandong University of Traditional Chinese Medicine, Shandong Province, Ji′nan 250300, China
Abstract：Objective To analyze the changes in the medical expenses of public hospitals in Shandong Province after the elimination of drug price addiction, and to provide reference suggestions for optimizing the structure of medical expenses and ensuring the public welfare and sustainable development of public hospitals. Methods Statistical analysis was made on the medical expenses of public hospitals from 2010 to 2018, and the number of public hospitals included in the tertiary, secondary, primary and unrated public hospitals in Shandong Province was 155, 335, 210, and 109, respectively. Results From 2010 to 2018, the average outpatient expenses increased from 167.3 yuan to 257.9 yuan, with an average annual growth rate of 6.8%. The per capita hospitalization expenses increased from 6415.9 yuan to 9845.7 yuan, with an average annual growth rate of 6.7%. The proportion of drugs decreased, but the proportion of outpatient drugs was still higher than 30%. All levels of hospitals accounted for the highest proportion of drug costs, and the primary hospitals accounted for the highest proportion of drug costs. Conclusion It is of positive significance to cancel drug price addiction, but the government investment must be timely and sink， otherwise the excessive compensation mechanism will increase the burden on patients. At the same time, strengthen the standardized operation of the pharmaceutical market, reduce the cost of medicines and health materials, and deepen the policy of tiered diagnosis and treatment.
周悦1 莫颖宁2. 取消药品加成后山东省公立医院医疗费用分析[J]. 中国医药导报, 2020, 17(26): 193-196.
ZHOU Yue1 MO Yingning2. Analysis of medical expenses in public hospitals in Shandong Province after the elimination of drug price addiction. 中国医药导报, 2020, 17(26): 193-196.
2020, Vol. 17 
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