Abstract：Objective To analyze the changes of medical cost structure in the "pre-outbreak- peacetime and wartime combination" stages of COVID-19, and evaluate the effect of hospital structural adjustment in the latter stage, so as to provide reference for improving hospital economic benefits and controlling the rapid growth of medical costs. Methods Based on the data of hospital income structure from 2019 to the first half of 2021, descriptive statistics and structural variation analysis were used. Results In the first half of 2020, compared with the second half of 2019, the number of outpatient and emergency visits decreased by 29.6%, and the number of inpatients decreased by 25.3% (P<0.05). The number of outpatient and emergency visits in the first half of 2021 recovered to the level of the first half of 2019 (P>0.05), the number of inpatients decreased by 15.7%, the number of operations increased by 58.0%, the number of grade 4 operations increased from 59.5 to 134.0, and the number of minimally invasive operations increased from 175.0 to 241.0 (P<0.05). From 2019 to the first half of 2021, the variation degree of outpatient income structure was 13.57%, and the average annual variation degree of outpatient income structure was 3.0%. From 2019 to the first half of 2021, the items that caused great changes in the structure of outpatient fees were medicine income, registration income, laboratory income and sanitary material income, with a cumulative contribution rate of 87.10%. The increase of registration fees and chemical examination income was the main factor driving the growth of outpatient fees. From 2019 to the first half of 2021, the variation degree of inpatient income structure was 11.89%. From 2019 to the first half of 2021, the items that caused the big change of inpatient cost structure were medicine income, surgery income, treatment income and laboratory income, with a cumulative contribution rate of 81.38%. The increase of surgery income and treatment income was the main factor to accelerate the With the rapid decline of hospital business volume growth of inpatient income. Conclusion under the COVID-19 epidemic, hospitals should actively carry out the structural adjustment, reduce the consumption of drugs and sanitary materials, increase the income of surgery and treatment, gradually optimize the medical income structure, and improve the economic benefits of the hospital.
谭思，杨洋，符娇. 2019—2021年上半年某三甲医院医疗费用结构变动度分析[J]. 中国医院统计, 2021, 28(6): 533-537.
Tan Si, Yang Yang, Fu Jiao. Change analysis of medical income structure in a tertiary hospital from 2019 to the first half of 2021. journal1, 2021, 28(6): 533-537.
