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从 1995年12月1日起,在我市开始实行新的医药费“总量控制、结构调整”改革方案。本文对我院执行该项改革方案前后的1995年11月618例和12月555例住院病人平均医疗费用及其构成情况进行分类统计,并将医疗费用项目按其性质划分为主要体现医务人员知识价值、医疗劳务投入的活劳动消耗和主要体现固定资产、药品等投入的物化劳动消耗两大部分,进行对比分析,对各项平均数进行统计处理。旨在通过分析,从中找出所取得的成绩以及存在的问题,为强化医院科学管理提供信息,使“总量控制、结构调整”的改革方案得到真正落实。从而防止在诊治疾病过程中出现的“大处方、乱检查、滥收费”情况蔓延,使卫生资源得到有效和充分的利用,减轻国家、集体和病人的经济负担,使医院在医疗服务过程中的活劳动消耗和物化劳动消耗得到较合理补偿,提高医院业务收入的含金量,使两个效益实现同步增长。
From December 1, 1995, the city began to implement a new plan for the reform of “total amount control and structural adjustment” of medical expenses. In this paper, the statistics of the average medical expenses and the composition of 555 inpatients in 618 cases and 555 cases in December 1995 before and after implementation of the reform program in our hospital were collected, and the medical expense items were classified according to their nature to reflect the knowledge of medical personnel. Values, labor consumption of medical labor services, and materialized labor mainly reflecting fixed assets, drugs, etc., are compared and analyzed, and the averages are statistically processed. The aim is to find out the achievements and existing problems through analysis, and provide information for strengthening the scientific management of hospitals so that the reform plan of “total control and structural adjustment” can be truly implemented. In order to prevent the spread of “big prescriptions, random inspections, and overcharging” in the course of diagnosis and treatment of diseases, the health resources are effectively and fully utilized, the economic burdens of the state, the collective, and the patients are reduced, and the hospitals are in the process of medical services. The consumption of living labor and materialized labor were reasonably compensated, and the gold content of hospital operations income was increased, so that the two benefits realized simultaneous growth.