PDF
Full
Outline
To analyze the impact of the implementation of high-quality development policies for public hospitals on the structure of medical expenses in public hospitals in Shanghai, providing a reference for controlling medical costs.
The structural change method was employed to analyze the changes in inpatient expense structures in various levels of public hospitals in a district of Shanghai from October 2019 to October 2023. A segmented time series analysis was conducted to examine the structural levels and trend changes in inpatient expenses before and after the policy implementation.
Following the implementation of the high-quality development policies, the proportion of drug costs and medical service fees in secondary and tertiary hospitals showed a decreasing trend, while the proportion of health materials costs increased. Conversely, in traditional Chinese medicine hospitals, the proportion of health materials costs and medical service fees decreased, while the proportion of drug costs increased. The inpatient expenses in tertiary hospitals, secondary hospitals, and traditional Chinese medicine hospitals decreased by 37.8%, 3.4%, and 9.4%,respectively.
The implementation of high-quality development policies for public hospitals has reduced inpatient expenses across various levels of hospitals in Shanghai; however, it does not impact the long-term effects on inpatient costs. There is a need for long-term monitoring of expense structures, scientific and reasonable calculations of medical service project costs, and the establishment of a more rational fiscal compensation mechanism to promote the high-quality development of public hospitals.
PDF
65
31
| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |
关闭全屏
No. 86 Xueyuan South Road, Haidian District, Beijing
010-62199257
qkjq@cast.org.cn
Copyright © 2025 China Association for Science and Technology. All rights reserved. For all open access content, the relevant licensing terms apply.
Sponsored by the Office of the Leading Group for Cybersecurity and Informatization of CAST, and supported by Science and Technology Review Publishing House
