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北京医改前后某三甲医院糖尿病患者住院指标分析

王大为,王旭东*   

  1. 首都医科大学附属北京同仁医院综合内科,北京 100730
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2016-11-25

Analysis of Hospitalized Diabetes Patient Data between Pre and Post Health Care Reform in Beijing

Wang Da-wei, Wang Xu-dong   

  1. Department of Comprehensive Internal Medicine, Beijing Tongren Hospital, Capital Medical University , Beijing 102600, China
  • Received:1900-01-01 Revised:1900-01-01 Online:2016-11-25

摘要: 【摘要】目的:探讨2012年北京市属医院试行医改措施对糖尿病患者住院指标的影响。方法:调查分析2010~2014年某试行医改工作三级甲等医院糖尿病住院患者463例的医疗费用和住院日等指标,比较医改前后差异。结果:施行医改后糖尿病患者平均住院日明显缩短(P=0.00);在总体住院费用无明显变化的情况下,医改后诊疗费及诊疗占比显著提高(P=0.00),药占比有所下降(P=0.02)。结论:医改措施体现了医务人员劳动价值,提高了医院运营效率。

Abstract: 【ABSTRACT】Objective: To evaluate the impact of health care reform trial implemented in pilot hospital of Beijing in 2012. Methods: Data of 463 hospitalized patients with diabetes mellitus was retrospectively drawn,medical expense and length of stay during 2010~2014 was compared. Result: Through the health care reform,the length of stay was shorten(P=0.00),the proportion of drug expense was decreased(P=0.02),the proportion of medical service fee was increased.Conclusion:The health care reform reflected the value of physician knowledge of labor and improves the operational ef ficiency of hospital.