我院降低药品收入构成比及有关的医疗经济分析

目前药品过度应用及医疗费用不合理增加的问题是当前的社会热点问题。如何合理的控制医疗保健的成本、控制药品的价格及降低医疗服务的费用，需要严格地制定标准。我们通过对①我院药品收入构成比的变化趋势分析，由2001年1～6月药品收入构成比为48．1％，到2002年同期降低到38．7％。②医院总收入结构变化的分析，2002年1～6月医院总收入比2001年同期下降了5．3％，其中药品收入降低了23．7％，而医疗收入增长了11．8％。②住院患者医药费用负担的变化分析，2002年1～6月门急诊患者及出院患者的平均费用比2001年同期均降低。我们认为药品收入构成比标准应成为评价医院综合管理的重要指标；医院收入中药品构成比标准应严格控制在40％左右；在制定医院宏观标准的同时，应合理确定不同专业科室的药品构成比标准。

Reduction of the component ratio of the drug income and analysis of related medical economy in our hospital

The overuse of drugs and the irrational increase in medical expenses are currently hot social issues. Standards need to be set in a strict way so as to reasonably contain the cost of medical and health care and die prices of drugs and to lower the expenses of medical services. Analyses conducted in our hospital indicate that the component ratio of the drug income fell from 48.1% in January through June, 2001 to 38.7% one year later; the hospital's overall income in January through June, 2002 dropped 5.3% as compared with the same period of 2001, with the drug income dropping 23.7% and the medical treatment income rising 11.8%; the average expenses bom by emergency outpatients and discharged patients in January through June, 2002 both lowered as compared with the same period of 2001. The authors hold that the component ratio of the drug income ought to be a key index in assessing the integrated management Wei of a hospital; the proportion of the drug income in the overall income of a hospital ought to be restricted to 40% or so; and when general plans are being made for a hospital as a whole with regard to the proportion of the drug income, different standards ought to be set for various specialties.