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通过对一家综合性医院内外科近３ 年住院病例按１０％ 比例整群随机抽样，分析其例均住院及其分项检查、治疗费用构成及变动情况，结果表明：（１）例均费用及其分项费用逐年上涨，其中药品费所占比例逐年下降并非其本身在减少，而是由于其它分项费用的增长快于药品费用的增长所致。（２）治疗费中一次性耗材占２２％ ，检查费中化验项目占４０％ ，特别检查总费用逐年下降。在医疗保险供方费用控制中，有必要加强对普通检查、治疗项目运用的监督控制
Through a random sampling of 10% of hospitalized patients in a general hospital for internal and external surgery at a random sampling rate of 10%, the analysis of the average hospitalization and its component inspections, treatment cost composition, and changes were performed. The results showed that: The sub-item costs rose year by year. The decrease in the proportion of the cost of medicines was not a decrease in itself. It was due to the fact that the growth of other sub-items was faster than the increase in the cost of medicines. (2) One-time consumables accounted for 22% of the treatment fee, and 40% of the examination fees were for laboratory tests. The total cost of special inspections decreased year by year. In the control of medical insurance supplier fees, it is necessary to strengthen the supervision and control of the use of ordinary inspections and treatment items.