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    Home > Medical News > Latest Medical News > [hot spot] in the first quarter of 2018, the medical expenses of provincial and provincial hospitals were controlled, and the proportion of drugs decreased!

    [hot spot] in the first quarter of 2018, the medical expenses of provincial and provincial hospitals were controlled, and the proportion of drugs decreased!

    • Last Update: 2018-05-18
    • Source: Internet
    • Author: User
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    A kind of The total medical income of 14 hospitals in Hubei Province is uneven, and concord is the lowest; A kind of The proportion of drugs in 14 provincial and ministerial hospitals all showed a year-on-year downward trend, and drug control fees showed remarkable results Recently, the health and Family Planning Commission of Hubei Province announced the control of medical expenses of provincial and ministerial hospitals in the first quarter of 2018 According to this announcement, the income composition of medical treatment mainly comes from outpatient income and inpatient income, including health material income, drug income, drug service fee income, in addition to registration income, inspection income, operation income, etc In view of the large number of data, the author mainly takes the hospital as the main body to sort out the growth of the total medical income of 14 hospitals under the Ministry and province, the proportion of drugs, health materials, per capita medical insurance expenses, etc (1) The year-on-year growth rate of medical revenue in the first quarter of 2018, the total growth rate of medical revenue of 14 hospitals under the Ministry and province was 3.90% The lowest increase was in Tongji Hospital (- 1.22%) and Xiehe Hospital (- 3.24%) The top three hospitals were Liyuan hospital (21.62%), provincial cancer hospital (20.08%) and Central South Hospital of Wuhan University (19.44%) (see Fig 1.1 for details) Fig 1.1 the year-on-year growth of medical revenue of provincial and ministerial hospitals in the first quarter of 2018 (II) the proportion of drugs (excluding Chinese herbal pieces) and the proportion of drugs (excluding Chinese herbal pieces) are indicators used to reflect the drug cost level and revenue structure of the hospital, and the calculation formula is hospital drug revenue (excluding Chinese herbal pieces) / medical revenue × 100% Figure 1.2 proportion (%) of drugs in the first quarter of 2018 (excluding Chinese herbal pieces) it can be seen from Figure 1.2 that in the first quarter of 2018, the lowest proportion (excluding Chinese herbal pieces) of drugs in the provincial hospitals is Wuhan University Dental Hospital, and the highest hospital directly under Hubei Province According to the data, in the first quarter of 2018, the total proportion of drugs in 14 provincial and ministerial hospitals in our province (excluding Chinese herbal pieces) was 34.43%, down 7.63 percentage points from the same period of last year The proportion of drugs in 14 provincial hospitals decreased year on year The top three hospitals in the decline were the provincial hospital, union hospital and Tongji Hospital, with the drop of 12.42%, 11.33% and 9.84% respectively It can be seen that the measures to control the proportion of drug revenue in Hubei Province have achieved remarkable results In addition to reflecting the effectiveness and accessibility of the provincial fee control mechanism, the proportion of drugs also directly shows the achievements of drug companies in delivering drugs to medical institutions and providing health services for the public (3) Proportion of health material income to medical income proportion of health material income to medical income is used to reflect the income structure of the hospital It is another large share of the interest chain generated by pharmaceutical enterprises and medical institutions The proportion of medicine in the above 14 provincial and ministerial hospitals has a decreasing trend, so what about the situation of health material? (see Fig 1.3 for details) Fig 1.3 the proportion (%) of the health material income of the provincial hospitals in the first quarter of 2018 It can be seen from Fig 1.4 that in the first quarter of 2018, the proportion of the health material income of the 14 provincial hospitals in the province was 43.19%, and that of the hospital directly under the province was 1.09% According to the data, in the first quarter of 2018, the proportion of total health materials revenue of provincial hospitals was 17.18%, 0.56 percentage points higher than the same period of last year, basically stable Among the 14 hospitals, the proportion of health material income of six hospitals, including Wuhan University People's Hospital, Wuhan University Central South Hospital, Wuhan University Stomatology Hospital, Hubei integrated hospital of traditional Chinese and Western medicine, Hubei maternal and child health care hospital and Hubei Provincial directly affiliated hospital, decreased year on year (4) Medical expenses per capita and individual payment of medical insurance patients in the first quarter of 2018, the average medical expenses per patient in the first quarter of the Ministry and provincial hospitals totaled 352.94 yuan, a year-on-year decrease of 7.03, a decrease of 1.95%, reaching the goal of reducing the per capita medical expenses of outpatients However, the medical expenses per capita of discharged patients were 18957.32 yuan, a year-on-year decrease of 915.59 yuan, a decrease of 4.61% Due to factors such as the severity of disease and the price level within the scope of medical services in the province, the medical expenses of 14 provincial hospitals are far higher than the average medical expenses of inpatients in other tertiary hospitals in the province However, the overall decline in per capita medical expenses in the first quarter of 2018 is enough to show that the control of medical expenses is reasonable The decrease is mainly due to various medical reform policies implemented by the local government, especially the increase of medical insurance drugs and the control of the proportion of the insured's expenditure To a certain extent, the payment of patients' medical insurance can be used as a basis to measure whether the medical staff have rational medication and reasonable treatment (see Figure 1.4 for details) Figure 1.4 proportion (%) of individual expenditure of insured patients in the first quarter of 2018 (* Tongji Hospital is a non-medical insurance designated hospital, there is no such data) From the above figure, it can be seen that in the first quarter of 2018, the highest proportion of individual payment of medical insurance in provincial and ministerial hospitals is Concorde hospital (46.43%), and the lowest is Hubei Provincial Hospital (19.88%) At the same time, in the second half of the first quarter of 2018, the total personal payment proportion of insured patients in provincial and ministerial hospitals was 20.80%, a year-on-year decrease of 0.35% In addition, the proportion of expenses outside the medical insurance catalog also reflects the burden of patients' medical treatment and the rationality of diagnosis, treatment and medication in hospitals According to statistics, in the second half of the first quarter of 2018, the proportion of total out of the medical insurance catalog expenses of Hubei provincial and ministerial hospitals was 10.46%, up 1.03 percentage points year on year Note: the above content comes from the health and Family Planning Commission of Hubei Province, which also includes the public notice of 50 single diseases in the first quarter of 2018 The statistics of the number of cases and the cost per case in the table can be used as a reference for pharmaceutical enterprises to sell medical materials to medical institutions in the province.
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