论文部分内容阅读
目的:采用不同方法分析基本药物“零差率”政策对非手术病种费用的影响,比较其可靠性。方法:研究采用有对照的干预前后比较设计,数据来源于县级医院的住院病历资料,分析方法为线性回归模型、单纯倍差法以及多因素倍差法。结果:从线性回归模型、单纯倍差法和多因素倍差法分析结果可以看出,基本药物“零差率”政策使非手术病种患者次均住院费用分别下降了234.6元、394.5元和380.9元,使次均药品费用分别下降了204.4元、248.5元和257.1元。结论:县级医院基本药物“零差率”政策降低了非手术病种次均住院费用,采用多因素倍差法评估基本药物“零差率”政策更加可靠。
OBJECTIVE: To analyze the impact of the basic medicine “zero-difference rate ” policy on the cost of non-surgical diseases by different methods and compare their reliability. Methods: The comparative design before and after the control intervention was used. The data came from the inpatient records of county hospitals. The analysis methods were linear regression model, simple double difference method and multiple factor multiple difference method. Results: From the linear regression model, the simple multiplier method and the multiple factor analysis of the difference method, we can see that the basic medicine “zero difference rate ” policy reduced the average hospitalization costs of non-surgical patients by 234.6 yuan, 394.5 Yuan and 380.9 yuan, so that the average drug costs were decreased by 204.4 yuan, 248.5 yuan and 257.1 yuan. Conclusion: The basic medicine “Zero Difference Rate ” policy in county hospitals reduces the average hospitalization cost of nonsurgical diseases, and the multifactor ratio method is more reliable for evaluating the basic drug “zero difference rate ” policy.