新医改补偿政策对辽宁省医疗费用构成的影响

目的通过对辽宁省新医改补偿政策实施前后医疗机构医疗费用的构成与动态变化进行分析,评价新医改政策对医疗服务行为带来的影响。方法应用SPSS统计软件,对2007—2011年间辽宁省医疗机构上报的数据进行分析。结果共收集1947份公立医院上报数据。5年间综合医院药占比呈现先升后降趋势,2007年为44.99%,2010年上升为46.56%,2011年下降为44.28%。从地区来看,医疗机构药占比最高前三位的分别是葫芦岛52.65%、铁岭49.49%和营口43.57%,后三位的分别是鞍山27.62%、锦州38.48%和大连38.79%。结论新医改补偿政策试点地区,由于对基层医疗机构补偿比例加大,医疗机构药占比以及人均医疗费用均有所下降,医疗服务行为得到改善,其他非试点地区,新医改补偿政策实施前后医疗服务行为没有明显变化。

The Impact of New Medical Reform Compensation Policies on Medical Cost Composition in Liaoning Province

Objective：By analyzing medical cost composition and dynamic change in medical institutions after the implementation of compensation policies covered in new medical reform of Liaoning Province. Method：The authors ana- lyze the reported data of medical institutions in Liaoning Province from 2007 to 2011 with SPSS. Result：The collected 1947 copies of the reported data by the public hospitals show that medicine proportion has been in the trend of rising first and declining afterwards during the five years： 44. 99% in 2007,46. 56% rising in 2010 and 44. 28% declining in 2011. In terms of regions, the first three with the highest medicine proportion are Huludao,52. 65 %, Tieling ,49.49 % and Yingkou, 43.57%. While the last three are Anshan, 27.62%, Jinzhou, 38.48% and Dalian, 38.79%. Conclusion： Due to the en- larged compensation proportion, medicine proportion in medical institutions and medical expenses per capita decrease and medical service is improved in the pilot regions of compensation policies covered in new medical reform. However, in non- pilot regions, medical service before and after the implementation of compensation policies of new medical reform is not in the significant improvement.