Abstract：Objective To analyze the impact of the medical separation reform in April 2017 on the medical expenses of patients in grade tertiary hospitals in Beijing, and to provide advice on medical cost management and medical service pricing reform. Methods Descriptive analysis method was used to analyze the medical cost data of Beijing grade tertiary hospitals from 2014 to 2018, and Patients′ costs before the reform (2014-2016), during the reform (2017) and after the reform (2018) were compared. Results After the reform of separating medicine from medicine, the average cost of outpatient service and hospitalization in tertiary hospitals increased by 2.65% and 2.44% respectively, and the proportion of outpatient and inpatient drugs decreased to 55.67% and 26.54% respectively, and the proportion of inpatient materials expenses decreased to 32.43%. The proportion of hospitalization expenses covered by medical insurance was 72.54%. Conclusion After the reform of separating medicine from medicine, the level of medical expenses in tertiary hospitals has been increased in a controllable way, the medical cost structure has been optimized, and the medical burden on patients has been steadily reduced. It is suggested that we should continue to deepen the reform of medical price, standardize and adjust the medical service fees, and strengthen the control of the growth of medical expenses, so as to better realize the transformation of hospital compensation mechanism.
孙树学1 刘海燕2 徐计德3 赵冠宏4. 北京市医药分开综合改革对三级医院患者就医费用影响分析[J]. 中国医药导报, 2020, 17(12): 176-179.
SUN Shuxue1 LIU Haiyan2 XU Jide3 ZHAO Guanhong4. Analysis on the influence of Beijing medicine reform on the medical expenses of patients in tertiary hospitals. 中国医药导报, 2020, 17(12): 176-179.
2020, Vol. 17 
京公网安备 11010502046598号