| 公立医院静脉输液成本与收费关系研究 |
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| 引用本文： | 陈丽红,赵明,张云婷,李娜,罗诚祖,张浩,刘世萍,包晓信,Rostyslav Semikov,李志建,马进.公立医院静脉输液成本与收费关系研究[J].上海交通大学学报(医学版),2009,29(3). |
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| 作者姓名： | 陈丽红 赵明 张云婷 李娜 罗诚祖 张浩 刘世萍 包晓信 Rostyslav Semikov 李志建 马进 |
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| 作者单位： | 陈丽红,张云婷,李娜,张浩,刘世萍,包晓信,李志建,马进,CHEN Li-hong,ZHANG Yun-ting,LI Na,ZHANG Hao,LIU Shi-ping,BAO Xiao-xin,LI Zhi-jian,MA Jin(上海交通大学公共卫生学院,上海,200025);赵明,ZHAO Ming(上海交通大学安泰经济与管理学院,上海,200052);罗诚祖,LUO Cheng-zu(上海交通大学医学院仁济医院院长办公室,上海,200127);Rostyslav Semikov,Rostyslav Semikov(牛津大学,公共卫生学院,牛津,OX1 3BJ)
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| 基金项目： | 国家自然科学基金，国家科技部基金，国家卫生部基金 |
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| 摘 要： | 目的 分析不同地区和级别医院静脉输液成本与政府定价的关系.方法 采用典型抽样方法,分别选取上海市及浙江、湖北和陕西省的二、三级公立医院各一家,收集2007年的相关数据资料.调查各样本医院的静脉输液收费标准,测算人力和材料成本及收费价格水平,结合地区经济水平及各样本医院基本情况和经济运营状况进行综合分析.结果 各样本医院的收费水平与当地经济发展水平相适应.静脉输液人力成本占总成本的比例,二级样本医院为72.36%～87.87%,三级样本医院为83.72%～94.46%; 静脉输液收费价格水平,二级样本为0.12～0.85,三级医院为0.07～0.57; 其中上海市和浙江省成本与定价的差距更为悬殊.各样本医院的人力成本回收率均小于<100%.结论 静脉输液消耗的主要是人力成本.各地区医院静脉输液的实际成本均高于现行收费标准,护理人员的技术劳务价值未得到充分体现.应合理调整现行收费结构,并建立动态的医疗服务成本价格监测体系适时调整医疗服务价格.
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| 关 键 词： | 静脉输液 成本 价格 |
Relationship between cost and price of venous transfusion in public hospitals |
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| CHEN Li-hong,ZHAO Ming,ZHANG Yun-ting,LI Na,LUO Cheng-zu,ZHANG Hao,LIU Shi-ping,BAO Xiao-xin,Rostyslav Semikov,LI Zhi-jian,MA Jin.Relationship between cost and price of venous transfusion in public hospitals[J].Journal of Shanghai Jiaotong University:Medical Science,2009,29(3). |
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| Authors: | CHEN Li-hong ZHAO Ming ZHANG Yun-ting LI Na LUO Cheng-zu ZHANG Hao LIU Shi-ping BAO Xiao-xin Rostyslav Semikov LI Zhi-jian MA Jin |
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| Institution: | 1. School of Public Health;Shanghai Jiaotong University;Shanghai 200025;China;2. Antai College of Economics & Management;Shanghai 200052;3. Director Office;Renji Hospital;School of Medicine;Shanghai 200127;4. School of Public Health;Oxford University;Oxford OX1 3BJ;UK |
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| Abstract: | Objective To explore the relationship between cost and price of venous transfusion in hospitals of different levels in different regions. Methods Eight hospitals were selected by representative sampling from Shanghai,Zhejiang Province,Hubei Province and Shaanxi Province,with one secondary hospital and one tertiary hospital in each region. The related data of the year 2007 of each hospital,including the charge standard of venous transfusion,cost of human resource and materials,and price level were obtained a... |
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| Keywords: | venous transfusion cost price |
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