医院业务收入增长的因素分析

目的分析影响医院业务收入变动的直接因素,为医院管理决策提供依据。方法通过对门诊、住院业务收入的变动建立指数体系,应用因素分析法对医院2007和2008年业务收入进行分析。结果2008年比2007年业务收入增加。门诊人次和门诊人次平均费用的增加使门诊业务收入有所增长。出院人次、出院者平均住院天数、出院者平均日费用的增加,使住院业务收入有所增长。结论医院业务收入的增长受门诊人次、门诊人次平均费用、出院人次、出院者平均住院天数、出院者平均日费用等因素影响。     

医院业务收入增减变动的因素分析

目的探讨和研究影响医院业务收入增减的因素,剖析各个因素变动对总量指标变动的影响程度和方向,阐明总量指标和各个因素之间的经济数量关系,为医院经济管理提供依据。方法采用因素分析法的原理对医院业务收入变动进行分析。结果影响医院业务收入的主要因素有工作量(门诊人次、住院人次)和单位费用两大类。结论我院业务收入增长中工作量占主导地位,单位费用占次要地位,可通过进一步控制单位费用,使业务收入更合理的增长。     

某医院业务收入增长因素分析

目的：分析探讨影响医院业务收入的主要及次要因素,为医院管理层提供及时准确的信息和科学的依据。方法：运用多因素指数分析法对某医院2014年和2015年业务收入的变动因素进行统计分析,掌握医院业务收入的变动方向、影响程度和原因。结果：门诊业务收入增长的主要因素是由于门诊人次和门诊人均费用的增加,住院业务收入增长的主要因素是由于出院人次和出院者人日均费用的增加。结论：医院应进一步强化经济管理,对医疗费用进行总量控制,调整结构,做到真正合理增加医院业务收入。     

运用综合指数法分析我院业务收入的影响因素

目的探讨我院业务收入的影响因素,为医院管理决策提供依据。方法运用综合指数分析法对我院2007年上半年(报告期)和2006年上半年(基期)的业务收入进行因素分析评价,确定各因素对医院业务收入影响程度和方向。结果报告期与基期相比,门诊收入实际增加了399.24万元,其中:门诊人次增加,使门诊收入增加了443.96万元;门诊人次平均费用下降,使门诊收入减少了44.72万元。住院收入实际增加了2003.81万元,其中:出院人次增加,使住院收入增加了1951.58万元;出院者平均住院天数增加,使住院收入增加了343.38万元;出院者人均日费用下降,使住院收入减少了291.15万元。结论医院业务收入的变动一方面受门诊、住院工作量增减的影响,同时另一方面也受到单位平均费用、平均住院日增减的影响,但起着主导作用的影响因素是门诊、住院的工作量。     

医院业务收入增长因素分析

[目的]分析门诊业务收入和住院业务收入增长的影响因素,为医院管理决策提供参考依据. [方法]应用增量因素分析法对医院门诊业务收入和住院业务收入增长情况进行统计分析. [结果]门诊人次与住院人次的增加是致使门诊及住院业务收入增长的主要原因. [结论]医院通过门诊人次和住院人次的增加来提高业务收入,且门诊人均费用及出院者平均人日费用有所降低,说明医院整体处于较好发展态势.     

利用因素分析法评价医院效益

目的分析影响医院业务收入变动的直接因素,为医院管理决策提供依据。方法通过对医院门诊、住院业务收入的变动建立指数体系,应用运用连环替代因素分析法对医院2011和2012年业务收入进行分析。结果 2012年比2011年业务收入增加。门诊人次和门诊人次平均费用的增加使门诊业务收入有所增长。出院人次、出院者平均住院天数、出院者平均日费的增加,使住院业务收入有所增长。结论医院业务收入的增长受门诊人次、门诊人次平均费用、出院人次、出院者平均住院数、出院者平均日费用等因素影响。     

我院业务收入增长原因因素分析

医院业务收入是反映医院经济效益和医院管理水平高低的重要指标之一 ,随着社会主义市场经济的建立和发展 ,医疗市场出现了许多相应的变化 ,它对医院的门诊、住院工作都有一定的影响。本文将利用因素分析法测定各个因素变动方向和影响程度 ,了解各因素对我院业务收入增长的影响。资料与方法1 资料来源于我院 1999～ 2 0 0 0年《医院工作报表》和《社会及经济效益报表》 ,见表 1。表 1　我院 1999～ 2 0 0 0年业务收入一览表年份业务收入 (万元 )合计 门诊收入住院收入门诊总诊疗人次出院人次门诊人均费用(元 )出院者平均费用(元 )1 9991 650 …     

用因素分析法分析医院的业务收入

目的用因素分析法分析医院的业务收入,探讨我院经济与收益情况以及影响医院业务收入的主要因素。方法通过对门诊、住院业务收入的变动建立指数体系,应用因素分析法对医院2009年和2010年业务收入进行分析。结果 2010年比2009年业务收入增加。门诊人次和门诊人次平均费用的增加使住院门诊业务收入有所增长。出院人次、出院者平均日费用的增加使业务收入有所增长。结论我院经济效益稳步发展,但仍需加强技术服务项目开发以提高医院收入和经济效益。     

某市医院业务收入变化因素分析

目的用因素分析法分析医院的业务收入,探讨我院经济与收益情况以及影响医院收入的主要因素。方法通过对门诊、住院业务收入的变动建立指数体系,应用因素分析法对医院2011年和2012年业务收入进行分析。结果2012年比2011年业务收入增加,门诊人次和门诊人次平均费用的增加使住院、门诊业务收入有所增长。出院人次、出院者平均费用的增加使业务收入有所增长。结论我院经济效益稳步发展,但仍需加强技术服务项目开发,规范医疗行为,提高医院收入和经济效益。     

影响医院业务收入的因素分析

目的通过对2006—2007年医院业务收入进行因素分析,了解各因素变动对业务收入的影响程度,从而有利于加强医院收入管理,提高医院经营管理水平。方法运用多元函数全增量因素分析法。结果门诊业务收入增加主要是由于每门诊人次平均费用提高所致;出院人次增加在住院业务收入增长中起主导作用。结论影响医院业务收入的因素主要包括门诊人次、每门诊人次费用、出院人次、平均住院日和平均人日费用等。     

应用因素分析法分析我院住院业务收入的变动因素

目的分析影响我院住院业务收入的直接变动因素,为医院管理决策提供依据。方法通过对住院业务收入的变动建立指数体系,应用因素分析法对我院2005年、2006年住院业务收入进行分析。结果2006年我院住院业务收入较2005年减少了1501.2万元。其中因工作量的减少使住院收入减少156.2万元;因疗程的缩短使住院收入减少234.9万元;因单位费用的减少使住院收入减少1110万元。结论我院住院业务收入的减少是由于工作量减少、疗程缩短和单位费用下降3个因素共同作用的结果。     

Effects of an increase in patient copayments on medical service demands of the insured in Japan

OBJECTIVES: To examine quantitatively the effects of an increase in patient copayments from 10% to 20% on the demand for medical services in Japan. METHODS: The subjects of the study were the employees insured by the 1,797 health insurance societies, belonging to the National Federation of Health Insurance Societies, in 1996 and 1998. Indicators of medical service demands analyzed include the inpatient, outpatient, and dental case rates, the number of serviced days per case, the medical cost per day and the medical cost per insured. RESULTS: When the effects of an increase in patient copayments from 10% to 20% were evaluated, taking into account the average age, the average monthly salary, the total number, the gender (male-to-female) ratio and the dependent ratio of the insured, the estimated change in the case rate was -6.96% for inpatient, -4.79% for outpatient, and -5.77% for dental care. The estimated change in the number of serviced day per case was -4.66% for inpatient, -5.67% for outpatient, and -1.82% for dental care. The estimated change in the medical cost per day was -3.15% for inpatient, -13.00% for outpatient, and -11.48% for dental care. The estimated change in the medical cost per insured was -14.08% for inpatient, -21.54% for outpatient, and -18.11% for dental care. CONCLUSIONS: The increase in patient copayments from 10% to 20% enabled insurers to substantially reduce medical costs by cost shifting from the insurer to the insured, with resultant changes in the case rate and the number of service days per case.     

Cost analysis of home monitoring in lung transplant recipients

OBJECTIVES: The University of Minnesota has maintained a home monitoring program for over 10 years for lung and heart-lung transplant patients. A cost analysis was completed to assess the impact of home monitoring on the cost of post-transplant medical care. METHODS: Clinical information gathered with the monitoring system includes spirometry, vital signs, and symptom data. To estimate the impact of this system on medical costs, we completed a retrospective analysis of the effects of home monitoring on the cost of post-lung transplant medical care. The cost analysis used multivariate linear regression with inpatient, outpatient, and total medical care costs as the dependent variables. The independent variables for the regression include home monitoring adherence, underlying disease, ambulatory diagnostic group mapping variables, transplant type, and patient demographics. RESULTS: The multivariate regression of the overall cost results predicts a 52.4 percent reduction in total costs with 100 percent patient adherence; this rate includes a 72.24 percent reduction in inpatient costs and a 46.6 percent increase in outpatient costs. The actual first year average patient adherence was 74 percent. CONCLUSIONS: Adherence to home monitoring increases outpatient costs and reduces inpatient costs and provides an overall cost savings. The break-even point for patient adherence was 25.28 percent, where the net savings covered the cost of home monitoring. This is well within the actual first year adherence rates (74 percent) for subjects in the lung transplant home monitoring program, providing a net savings with adherence to home monitoring.     

Regulatory factors of medical care expenditures for older people in Japan--analysis based on secondary medical care areas in Hokkaido

For the purpose of clarifying determinants of medical care expenditure for older people in Japan, we analyzed the data on medical care expenditure for older people in 21 secondary medical care areas in Hokkaido, the second largest island of Japan. The annual amount of medical expenditure per insured older person can be reduced into three components: annual number of medical care bills per insured older person days of hospitalization or visits per medical care bill and amount of medical expenditure per day and per insured older person. The 21 secondary medical care areas in Hokkaido showed large differences in per capita amount of both inpatient and outpatient medical expenditures for older people. Per capita inpatient medical expenditure for men and women correlated positively with the days of hospitalization per bill and the per capita number of inpatient medical care bills per year, but inversely with the per capita amount of expenditure per day of hospitalization. The same held true for outpatient medical expenditure for men, but for women outpatient medical expenditure correlated positively with all three components. Multiple regression analysis indicated the more powerful effects of medical care demand or supply on inpatient medical expenditure, on the other hand, not much powerful effects of every index were indicated on outpatient medical expenditure.     

主诊医师负责制对业务收入增长因素分析

目的通过对主诊医师负责制实施前后业务收入的比较,分析主诊医师负责制对医院经济效益和患者收容的影响,探讨完善主诊医师负责制管理体系,促进医院良性发展,降低诊疗费用,减轻患者负担,促进医患和谐。方法资料来源于某院医院信息管理系统,以2006.01—2007.06为前期,2007.07—2008.12为后期。分别对包括门诊量、门诊人均费用、门诊收入、收容量、平均住院日、人均日住院费用、住院收入和业务总收入进行比较和分析。结果业务收入增长主要是收容量、人均日住院费用及门诊人均费用增长所致。结论主诊医师负责制的实施有利于医院的发展,主要是提高了工作人员的积极性、主动性、服务意识,但在一定程度上增加了患者的经济负担。     

南方某城市不同医疗保险政策对医疗服务的影响分析

目的描述比较2003～2010年南方某市综合医保、住院医保、农民工医保和少儿医保政策下医疗服务的差异,探讨不同医保政策对医疗服务的影响,为医疗保险管理部门提供控制策略。方法从南方某市医保局获得2003～2010年该市医疗服务费用数据,把费用分成门诊、住院两部分,通过对各种医保类型患者的总费用（药品费用、诊疗费用）、人均费用（药品费用、诊疗费用）、均次费用（药品费用、诊疗费用）的比较,发现各医保类型的费用变化趋势和差异,分析不同参保类型对医疗服务的影响。结果不同医保患者的门诊费用、住院费用中的总费用（药品费用、诊疗费用）、人均费用（药品费用、诊疗费用）、均次费用（药品费用、诊疗费用）差异均有统计学意义,综合医保各项指标较高,农民工医保各项指标较低。结论综合医保的各项指标著高于其他类型,农民工医保各项指标较低。要注意控制综合医保的医疗费用,提高农民工医保的医疗服务水平。在门诊费用控制中要注意控制比例较高的药品费用。     

Substituting inpatient for outpatient care: what is the impact on hospital costs and efficiency?

Substitution of inpatient for outpatient care is seen as a means to increase patient throughput and control costs. The purpose of this study was to assess the impact of increased outpatient care on hospital costs and efficiency using Finnish specialty-level data from years 2003–2006 to which we applied stochastic frontier analysis. The results reveal that outpatient services have a smaller impact on total costs than inpatient services. At the same time, increased outpatient activity appears to have an adverse effect on estimated cost efficiency. This counterintuitive finding is probably due to the low weight given to outpatient activities by the Diagnosis Related Groups (DRG) system. A common weighting for inpatient and outpatient services is required in order to assess accurately the impact of outpatient care on efficiency.     

大城市医保转移接续：公平性、选择性与结果——以广东省A市为例

目的：检验医保关系转移接续过程是否存在成本转嫁和逆向选择行为的理论假设,并评估其对医保基金的影响。方法：运用A市医保系统2011-2012年转移接续数据,对转入组和转出组各变量的差异分别进行卡方检验和t检验,运用多元回归分析探索门诊和住院报销费用的影响因素。结果：卡方检验表明,转入组与转出组在年龄和患有门诊慢性病和门诊特殊疾病方面存在显著差异,这说明转移接续过程存在逆向选择行为;t检验表明,转入组与转出组在人均住院费用及人均住院报销费用方面有显著差异;多元回归分析显示,年龄和患门诊慢性病和门诊特殊疾病对门诊及住院报销费用有显著影响。政策分析表明,医保基金存在转嫁成本的规定。结论：由于健康移民效应和风险选择的作用,转入组的门诊和住院费用对医保基金的影响并不大,地方医保基金可以进一步执行转移接续政策。     

艾滋病病毒感染者和艾滋病患者卫生服务利用及医疗费用的研究

目的 了解艾滋病病毒(HIV)感染者和艾滋病(AIDS)患者对卫生服务的利用及直接医疗费用。方法 于1999年12月对北京佑安医院收治的HIV感染者和AIDS患者进行回顾性研究。收集一般人口学特征、HIV感染及疾病进程的相关信息、过去一年内卫生服务利用情况及医疗费用资料。结果 共调查29例HIV感染者，其中17例(58．62％)为无症状期的HIV感染者，12例为AIDS患者。无症状期的HIV感染者平均每人年门诊6次，住院1．23次，每人年住院58．6天；AIDS患者平均每人年门诊7．8次，住院2．1次，住院200．2天。无症状期的HIV感染者平均每人年门诊费用为13729元，住院费用为4745元；AIDS患者平均每人年门诊及住院费用分别为15053元和22242元。既门诊又住院平均每人年的门诊及住院医疗费用，无症状期的HIV感染者为16248元，AIDS患者为36795元。结论 HIV感染者和AIDS患者医疗费用昂贵，对卫生服务的需求量大。需要进一步在更大范围内了解国内HIV感染者和AIDS患者对卫生服务利用的现状及需求。     

Health care reform and Connecticut's non-profit hospitals

The recent federal Health Care Reform Act signed into law by President Obama is expected to lead to greater patient volumes at non-profit hospitals in Connecticut (and throughout the country). The financial implications for these hospitals depend on how the costs per patient are expected to change in response to the anticipated higher patient volumes. Using a regression analysis of costs with annual data on 30 Connecticut hospitals over the period 2006 to 2008, we find that there are considerable differences between outpatient and inpatient unit cost structures at these hospitals. Based on the results of our analysis, and assuming health care reform leads to an overall increase in the number of outpatients, we would expect Connecticut hospitals to experience lower costs per outpatient treated (economies of scale). On the other hand, an influx of additional inpatients would be expected to raise unit costs (diseconomies of scale). After controlling for other cost determinants, we find that the marginal cost of an inpatient is about $8,000 while the marginal cost of an outpatient is about $44. This disparity may provide an explanation for our finding that the effect of additional patient volumes overall (combining inpatient and outpatient) is an increase in hospitals' unit costs.