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目的:科学测算药事成本,量化药事服务费收费水平。方法:通过问卷调查收集全国12省市部分公立医院的财务数据,采用描述性统计方法分析医院药事成本,分别测算门诊药事服务费和住院药事服务费的收费水平。结果:门诊药事服务费按每张处方平均收取5~10元可补偿门诊药事成本,住院药事服务费按每床日平均收取15~30元可补偿住院药事成本。调研结果表明不同级别、不同类型、不同地区医院之间药事服务费收费水平存在较大差异。结论:各地在制定具体收费水平时,应根据实际情况分地区、分医院类型和级别来具体制定,并及时根据处方量和住院床日变化进行调整。
Objective: To calculate the cost of medical science scientifically and quantify the level of medical service charges. Methods: Through questionnaire survey, the financial data of some public hospitals in 12 provinces and cities in China were collected. The cost of hospital pharmacy was analyzed by descriptive statistics, and the charges of outpatient pharmacy services and inpatient services were respectively calculated. Results: Outpatient medical service fee per patient per prescription received an average of 5 to 10 yuan to compensate for outpatient drug costs, hospital drug service fee per bed per day on average 15 to 30 yuan to compensate for the cost of hospital drug costs. The survey results show that different levels, different types of hospitals in different regions of the cost of drug service fees there is a big difference. Conclusion: When setting the level of specific charges, all localities should make their own plans according to the actual situation and by type and level of hospitals, and make timely adjustments according to the prescriptions and hospital bed days.