A Comparative Analysis of the Control Effect of Medical Expenses between General Hospitals and Traditional Chinese Medicine Hospitals from 2012 to 2021
Song Yamei
Asian Journal of Social Pharmacy ›› 2024, Vol. 19 ›› Issue (3) : 291 -306.
Objective To analyze the changing trend of average medical expenses and structure in general hospitals and traditional Chinese medicine (TCM) hospitals and the effects and differences achieved by the two kinds of hospitals through controlling unreasonable growth of medical expenses, so as to provide reference for controlling the rapid rise of medical cost in public hospitals and optimizing the cost structure. Methods Based on the changes of related indicators of medical expense control from 2012 to 2021, the overall characteristics, changes of cost structure and trends of medical expenses in general hospitals and TCM hospitals were investigated. Results and Conclusion From 2012 to 2021, the increase of medical expenses in general hospitals and traditional Chinese medicine hospitals had slowed down, the proportion of drug revenue to medical income began to decline, and the medical service income increased. However, the proportion of inspection, test and sanitary materials income has increased instead of decreasing, but the management cost has decreased. The two kinds of hospitals have achieved certain cost control results, the structure of medical cost has changed greatly, and the technical service and labor value of medical personnel have been reflected to a certain extent. However, it is still necessary to explore a more scientific and reasonable cost control mechanism to promote the further optimization of medical cost structure.
general hospital / traditional Chinese medicine / medical expense / control effect
| [1] |
|
| [2] |
The State Council. Notice of the State Council on Printing and Distributing Recent Key Implementation Plans of Medical and Health System Reform (2009-2011)[EB/OL]. (2009-04-07)[2023-03-09]. https://www.gov.cn/zhengce/content/2009-04/07/content_6239.htm. |
| [3] |
General Office of the State Council. Implementation Opinions of General Office of the State Council on Promoting Comprehensive Reform of County-level Public Hospitals[EB/OL]. (2015-05-08)[2023-03-09]. https://www.gov.cn/gongbao/content/2015/content_2864056.htm. |
| [4] |
The State Council. Notice of the State Council on Printing and Distributing the Plan and Implementation Plan for Deepening the Reform of the Medical and Health System during the 12th Five-Year Plan Period[EB/OL]. (2012-03-21)[2023-03-09]. http://www.gov.cn/zwgk/2012-03/21/content_2096671.htm. |
| [5] |
General Office of the State Council. Guiding Opinions of General Office of the State Council on Comprehensive Reform of Urban Public Hospitals[EB/OL]. (2015-05-17)[2023-03-09]. https://www.gov.cn/zhengce/content/2015-05/17/content_9776.htm. |
| [6] |
|
| [7] |
|
| [8] |
|
| [9] |
National Health Commission, |
| [10] |
General Office of the State Council. Opinions of General Office of the State Council on Strengthening the Performance Appraisal of Tertiary Public Hospitals[EB/OL]. (2019-01-30)[2023-03-19]. https://www.gov.cn/gongbao/content/2019/content_5366476.htm. |
| [11] |
National Administration of Traditional Chinese Medicine. Notice on the Issuance of Performance Assessment Indicators for Third-level Public Traditional Chinese Medicine Hospitals[EB/OL]. (2019-04-22)[2023-03-23]. http://www.natcm.gov.cn/yizhengsi/zhengcewenjian/2020-10-15/17540.html. |
| [12] |
|
| [13] |
General Office of the State Council. Guiding Opinions on Comprehensive Reform of Urban Public Hospitals[EB/OL]. (2015-05-06)[2023-03-23]. http://www.gov.cn/gongbao/content/2015/content_2868467.htm. |
| [14] |
|
| [15] |
|
| [16] |
|
| [17] |
|
| [18] |
|
| [19] |
|
| [20] |
|
| [21] |
|
| [22] |
|
| [23] |
|
| [24] |
|
| [25] |
|
| [26] |
|
| [27] |
|
| [28] |
|
| [29] |
General Office of the State Council. Opinions on Promoting the High-quality Development of Public Hospitals[EB/OL]. (2021-05-14)[2023-03-23]. https://www.gov.cn/zhengce/zhengceku/2021-06/04/content_5615473.htm. |
| [30] |
General Office of the National Health and Wellness Commission, State Administration of Traditional Chinese Medicine Office. Notice on Printing and Distributing Evaluation Indicators for High-quality Development of Public Hospitals (for Trial Implementation)[EB/OL].(2022-07-31)[2023-03-23]. http://www.nhc.gov.cn/yzygj/s3594q/202207/3324136282364655baa64f6e84fe0792.shtml. |
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|
〉 |