醫(yī)院第一季度核算分析報告

1、醫(yī)院本錢數(shù)據(jù)分析報告第一章報告編制說明本報告是在2021年第一季度醫(yī)院全面推廣全本錢核算工作的成果根底上,對全院的本錢數(shù)據(jù)信息進行了收入本錢收益分析、本錢構(gòu)成分析、變化趨勢分析和主要經(jīng)營指標(biāo)分析,有針對性地反映了一定時期內(nèi)我院經(jīng)營狀況、本錢費用水平和工作量情況.一、報告引用的本錢信息資料本報告數(shù)據(jù)采集了我院2021年第一季度本錢核算經(jīng)濟治理信息系統(tǒng)CBCS產(chǎn)出的以下25種主要的統(tǒng)計報表的數(shù)據(jù)： 收入本錢收益總表含財政收入 收入本錢收益總表不含財政收入 直接醫(yī)療科室收入本錢收益明細(xì)表 直接醫(yī)療科室收入本錢收益明細(xì)表本科開單本科執(zhí)行 醫(yī)技科室收入本錢收益明細(xì)表 收入本錢收益總表附表不含財政收入 收

2、入本錢收益總表附表含財政收入 直接醫(yī)療科室收入本錢收益明細(xì)表附表本科開單本科執(zhí)行醫(yī)院本錢構(gòu)成表 直接醫(yī)療本錢構(gòu)成表醫(yī)技科室本錢構(gòu)成表醫(yī)輔科室本錢構(gòu)成表治理科室本錢構(gòu)成表本錢分類分析表一按變動性劃分本錢分類分析表二按可控性劃分本錢分類分析表三按應(yīng)計入方式劃分本錢分類分析表四按工程構(gòu)成劃分科室本錢差異分析表本錢工程差異分析表醫(yī)療本錢差異分析表科室本錢分?jǐn)倕R總總表本錢工程分?jǐn)倕R總總表自定義科室收入本錢分析表 直接醫(yī)療科室收益排名表醫(yī)技科室收益排名表第二章收入本錢收益分析收入本錢收益分析主要針對本錢收益率進行分析,本錢收益率是醫(yī)院一段時期的收益與醫(yī)院本錢總額的比率,其計算公式為：通過收入本錢收益分析,

3、 可以綜合反映醫(yī)院的投入收益水平,即所得與所費的比率,表達了增加結(jié)余是以降低本錢費用為根底的原那么.本錢收益率的數(shù)值 越高,說明醫(yī)院的收益越好,勞動消耗的效益越高.反之,說明醫(yī)院的收益越 小,勞動消耗的效益越低.本錢收益分析屬于相關(guān)指標(biāo)比率分析法,針對兩個性質(zhì)不同而又相關(guān)的指標(biāo),計算工程之間的比率,考察經(jīng)濟業(yè)務(wù)的相對效益.使用相關(guān)指標(biāo)比率分析,為了能到達本錢限制、為協(xié)調(diào)各環(huán)節(jié)的平衡效勞的目標(biāo),必須還要考慮到醫(yī)院規(guī)模大小、實際業(yè)務(wù)發(fā)生量等原因,進行綜合分析考慮.一、醫(yī)院收入本錢收益分析1、目標(biāo)與方法本統(tǒng)計分析匯總反映我院在報告期內(nèi)的運營成果綜合評價.針對北京X X醫(yī)院的2021年第一季度總收入、

4、總本錢、總收益、本錢收益率進行綜合統(tǒng)計分析, 對于本錢和收益按醫(yī)療與藥品進行構(gòu)成分析.在下面的分析報表中,如無特別說明,收入指醫(yī)院的醫(yī)藥總收入,本錢指醫(yī) 藥總本錢,收益為醫(yī)藥總收益.同時統(tǒng)計報表中增加了財政補助收入對醫(yī)院結(jié) 余的影響2、數(shù)據(jù)分析報表及說明表1-1 x x醫(yī)院累計收入本錢收益總表(不含財政收入)期間：2021.1-2021.3金額單位：元工程收入本錢收益收支結(jié)余總計34,838,762.3137,547,812.47-2,709,050.16-2,709,050.16其中：醫(yī)療14,830,890.0120,279,404.30-5,448,514.29-5,448,514.29

5、藥品20,007,872.3017,268,408.182,739,464.122,739,464.12門診18,574,409.9216,858,490.261,715,919.661,715,919.66其中：醫(yī)療6,746,282.447,215,341.77-469,059.33-469,059.33藥品11,828,127.489,643,148.492,184,978.992,184,978.99住院16,264,352.3920,689,322.22-4,424,969.83-4,424,969.83其中：醫(yī)療8,084,607.5713,064,062.53-4,979,454

6、.96-4,979,454.96藥品8,179,744.827,625,259.69554,485.13554,485.13科研0000其中：醫(yī)療0000藥品0000以上數(shù)據(jù)說明:(1)從醫(yī)療和藥品的經(jīng)營來看,2021年第一季度我院的累計收入與累計本錢 比擬,總體顯現(xiàn)虧損,醫(yī)療收支結(jié)余-5,448,514.29 元,藥品收支結(jié)余2,739,464.12 元,全院總計結(jié)余-2,709,050.16 元,本錢收益率-7.21 %.(2)其中藥品收入占醫(yī)藥總收入 57.43%,比例較高.我院門診醫(yī)療收支結(jié)余為-469,059.33 元,住院醫(yī)療收支結(jié)余為 -4,979,454.96 元,從結(jié)構(gòu)上看,

7、門診總體盈余 1,715,919.66 元,住院總 體虧損4,424,969.83元,門診經(jīng)營成果要稍好于住院.門診收入本錢收益分析1、目標(biāo)與方法本統(tǒng)計分析反映我院在報告期內(nèi)門診的本錢收益綜合評價.針對我院第一季度門診總收入、總本錢、總收益、本錢收益率進行綜合統(tǒng)計分析,對于本錢和收益按醫(yī)療與藥品進行構(gòu)成分析.表2-1醫(yī)院門診總收入本錢收益分析表期間：2021.1-2021.3金額單位：元科室收入本錢收益本錢收益率門診人次門診合計18,574,409.9216,858,490.261,715,919.6610.18%157053傳染科門診342,023.49170,645.19171,378.3

8、0100.43%888婦科門診1,179,167.80927,546.85251,620.9527.13%11326疼痛科100,165.3680,039.5520,125.8125.14%401泌尿科門診79,137.4965,993.9913,143.5019.92%553骨科門診2,035,347.681,728,290.64307,057.0417.77%8786內(nèi)科門診4,856,741.074,160,848.59695,892.4816.72%23366兒科門診1,641,799.381,467,822.49173,976.8911.85%12401腫瘤科225,059.8620

9、7,748.8217,311.048.33%1473外科門診895,722.19874,927.3420,794.852.38%7039 急診3,396,582.573,618,337.75-221,755.18-6.13%12718 皮科411,052.01471,616.38-60,564.37-12.84%6345肛腸科55,972.0770,398.61-14,426.54-20.49%353口腔科567,739.70785,551.17-217,811.47-27.73%7294眼科368,649.18558,010.19-189,361.01-33.94%7741中醫(yī)科125,84

10、1.27191,100.15-65,258.88-34.15%1319五官科320,661.51508,309.26-187,647.74-36.92%5373整形科8,603.2620,786.28-12,183.02-58.61%26激光6,442.7227,443.39-21,000.67-76.52%0 東門診1,004,201.40318,900.30685,301.10214.90%6597 1西門診889,130.10428,712.90460,417.20107.40%7472門診其他64,369.81175,460.40-111,090.59-63.31%35582注：由于此

11、數(shù)據(jù)中東、西門診藥品本錢計入末按規(guī)定執(zhí)行,因此暫不參加分析及排名.以上數(shù)據(jù)說明：我院統(tǒng)計全院18個門診中不包括門診其他、東西門診,盈利科室共計9個,虧損科室共計9個,門診本錢收益率最高的為傳染科門診100.43%,最低的為激光門診-76.52% 0我院第一季度門診收入 18,574,409.92元,門診本錢16,858,490.26元,門診總收益1,715,919.66 元,門診本錢收益率 10.18%.表2-2醫(yī)院門診醫(yī)療收入本錢收益分析表期間：2021.1-2021.3金額單位：元科室門診醫(yī)療收入門診醫(yī)療本錢門診醫(yī)療收益本錢收益率門診合計6,746,282.447,215,341.77-4

12、69,059.33-6.50%傳染科門診211,958.7149,680.03162,278.68326.65%泌尿科門診16,579.577,124.979,454.60132.70%內(nèi)科門診1,259,292.37753,228.64506,063.7367.19%婦科門診792,396.68553,055.94239,340.7443.28%骨科門診880,158.61625,518.93254,639.6840.71%疼痛科75,357.9956,417.6418,940.3533.57%兒科門診472,699.40377,175.3295,524.0825.33%腫瘤科121,572

13、.06108,937.5312,634.5311.60%外科門診312,062.64315,526.55-3,463.91-1.10%急診1,522,721.221,868,503.21-345,781.99-18.51%口腔科431,132.18649,505.97-218,373.79-33.62%肛腸科19,651.4435,499.72-15,848.28-44.64%眼科170,796.97364,994.04-194,197.07-53.21%整形科7,445.2019,692.24-12,247.04-62.19%五官科107,139.10302,497.44-195,358.3

14、4-64.58%皮科40,989.09116,831.56-75,842.47-64.92%中醫(yī)科32,348.51102,202.78-69,854.27-68.35%激光5,342.0026,422.16-21,080.16-79.78%東門診112,234.30317,305.67-205,071.37-64.63%西門診96,269.80426,906.77-330,636.97-77.45%門診其他58,134.60138,314.64-80,180.04-57.97%注：由于此數(shù)據(jù)中東、西門診藥品本錢計入末按規(guī)定執(zhí)行,因此暫不參加分析及排名. 以上數(shù)據(jù)說明,我院第一季度門診平均醫(yī)療

15、本錢收益率為-6.50%.表2-3醫(yī)院門診藥品收入本錢收益分析表期間：2021.1-2021.3金額單位：元科室門診藥品收入門診藥品本錢門診藥品收益本錢收益率門診合計11,828,127.489,643,148.492,184,978.9922.66%激光1,100.721,021.2379.497.78%傳染科門診130,064.78120,965.159,099.637.52%兒科門診1,169,099.981,090,647.1778,452.817.19%急診1,873,861.351,749,834.54124,026.817.09%泌尿科門診62,557.9258,869.023,

16、688.906.27%整形科1,158.061,094.0364.035.85%內(nèi)科門診3,597,448.703,407,619.95189,828.755.57%中醫(yī)科93,492.7688,897.374,595.395.17%疼痛科24,807.3723,621.911,185.465.02%骨科門診1,155,189.071,102,771.7052,417.374.75%腫瘤科103,487.8098,811.284,676.524.73%外科門診583,659.55559,400.7924,258.764.34%皮科370,062.92354,784.8215,278.104.3

17、1%肛腸科36,320.6334,898.891,421.744.07%五官科213,522.41205,811.817,710.603.75%婦科門診386,771.12374,490.9112,280.213.28%眼科197,852.21193,016.164,836.052.51%口腔科136,607.52136,045.20562.320.41%東門診891,967.101,594.62890,372.4855836.03%西門診792,860.301,806.13791,054.1743798.30%門診其他6,235.2137,145.77-30,910.56-83.21%注：由

18、于此數(shù)據(jù)中東、西門診藥品本錢計入末按規(guī)定執(zhí)行,因此暫不參加分析及排名.以上數(shù)據(jù)說明,門診平均藥品本錢收益率為22.66%三、住院收入本錢收益分析目標(biāo)與方法本統(tǒng)計分析反映我院2021年第一季度住院的本錢收益綜合評價.針對我院 第一季度住院總收入、總本錢、總收益、本錢收益率進行綜合統(tǒng)計分析,對于 本錢和收益按醫(yī)療與藥品進行構(gòu)成分析.表3-1醫(yī)院住院總收入本錢收益分析表期間：2021.1-2021.3金額單位：元科室收入本錢收益本錢收益率住院床日數(shù)住院合計16,264,352.3920,689,322.22-4,424,969.83-21.39%33704CCU548,087.66488,267.9

19、459,819.7212.25%0內(nèi)四1,807,959.531,808,091.10-131.57-0.01%3351內(nèi)二1,462,064.301,551,707.84-89,643.54-5.78%3131內(nèi)五1,279,344.931,438,648.31-159,303.38-11.07%2829外一1,071,400.721,408,410.31-337,009.59-23.93%2893內(nèi)一1,221,890.241,633,492.41-411,602.17-25.20%2961ICU484,014.61652,742.83-168,728.22-25.85%0外三1,095,

20、301.611,505,472.97-410,171.36-27.25%1744外二824,986.801,141,667.24-316,680.44-27.74%2182骨科病房1,471,389.632,144,082.41-672,692.78-31.37%4978兒科病房661,648.861,012,754.73-351,105.87-34.67%1630婦科病房1,543,678.882,376,689.14-833,010.26-35.05%5513內(nèi)/、612,408.481,166,722.85-554,314.37-47.51%1261綜合科157,042.47302,43

21、2.51-145,390.04-48.07%1231住院其他2,023,133.672,058,139.64-35,005.97-1.70%0以上數(shù)據(jù)說明:我院統(tǒng)計全院14個病房中不包括住院其他,盈利科室共計1個,虧損科 室共計13個,病房本錢收益率最高的為 CCU病房12.25%,最低的為綜合科 -48.07% 0注：CCUW ICU病房末統(tǒng)計出住院床日數(shù),因此會有局部本錢未分?jǐn)偟酱丝?室,建議醫(yī)院從下月起將此科室的占用總床日數(shù)據(jù)統(tǒng)計完整.我院第一季度病房收入 16,264,352.39 元,病房本錢 20,689,322.22 元,病房總收益-4,424,969.83 元,病房本錢收益率-

22、21.39%.表3-2醫(yī)院住院醫(yī)療收入本錢收益分析表期間：2021.1-2021.3金額單位：元科室住院醫(yī)療收入住院醫(yī)療本錢住院醫(yī)療收益本錢收益率住院合計8,084,607.5713,064,062.53-4,979,454.96-38.12%CCU365,992.41316,191.2849,801.1315.75%內(nèi)四724,946.41809,985.53-85,039.12-10.50%內(nèi)二700,574.09841,095.13-140,521.04-16.71%內(nèi)五524,525.88730,982.24-206,456.36-28.24%ICU281,558.82467,299.

23、36-185,740.54-39.75%婦科病房1,064,998.341,926,273.66-861,275.32-44.71%外一423,923.75818,651.41-394,727.66-48.22%內(nèi)一461,283.04934,786.09-473,503.05-50.65%外二312,740.29651,516.23-338,775.94-52.00%兒科病房306,113.60681,994.20-375,880.60-55.11%骨科病房490,624.201,206,690.60-716,066.40-59.34%外三309,064.34781,563.87-472,4

24、99.53-60.46%內(nèi)八305,315.96877,842.52-572,526.56-65.22%綜合科67,119.45220,425.00-153,305.55-69.55%住院其他1,745,826.991,798,765.43-52,938.44-2.94%以上數(shù)據(jù)說明,我院第一季度病房平均醫(yī)療本錢收益率為-38.12%表3-3醫(yī)院(住院)藥品收入本錢收益分析表期間：2021.1-2021.3金額單位：元科室住院藥品收入住院藥品本錢住院藥品收益本錢收益率住院合計8,179,744.827,625,259.69554,485.137.27%外一647,476.97589,758.9

25、057,718.079.79%綜合科89,923.0282,007.517,915.519.65%ICU202,455.79185,443.4717,012.329.17%內(nèi)一760,607.20698,706.3161,900.898.86%外三786,237.27723,909.1062,328.178.61%內(nèi)四1,083,013.12998,105.5784,907.558.51%兒科病房355,535.26330,760.5324,774.737.49%內(nèi)二761,490.21710,612.7250,877.497.16%內(nèi)五754,819.05707,666.0747,152.9

26、86.66%內(nèi)八307,092.52288,880.3218,212.206.30%婦科病房478,680.54450,415.4828,265.066.28%CCU182,095.25172,076.6710,018.585.82%骨科病房980,765.43937,391.8243,373.614.63%外二512,246.51490,151.0122,095.504.51%住院其他277,306.68259,374.2017,932.486.91%以上數(shù)據(jù)說明,病房平均藥品本錢收益率為7.27%.以上數(shù)據(jù)說明：(1) 14個住科室總體經(jīng)營虧損,住院醫(yī)療收益率為-38.12%,住藥品收益率

27、為 7.27%.(2) 14個住科室,只有CC際房在住院醫(yī)療效勞上盈利,其余皆虧損.(3)比擬內(nèi)五病房、內(nèi)一病房,在住院業(yè)務(wù)量相差不大,住院總收入也比擬 接近,但由于住院科室的本錢水平有明顯的差異,導(dǎo)致收益和收益率相 差很大.科室住院總收入住院總本錢住院總收益本錢收益率業(yè)務(wù)量床日內(nèi)五127143-15-11.07%2829內(nèi)一122163-41-25.20%2961期間：2006.1-2006.3金額單位：萬元三、直接醫(yī)療科室收入、本錢、收益明細(xì)表1、目標(biāo)與方法本統(tǒng)計分析反映我院主要直接醫(yī)療科室作為本錢中央按責(zé)任的歸屬在報告 期內(nèi)的本錢收益明細(xì)評價.針對我院第一季度各主要直接醫(yī)療科室的收入、成

28、 本、收益、本錢收益率進行明細(xì)統(tǒng)計分析.考核和評價各本錢中央對責(zé)任本錢限制的實績是本表的重要目的,通過本表可以清楚地揭示不同醫(yī)院間科室經(jīng)營狀況的差異0在統(tǒng)計分析中采用科室的診次和實際占用床日數(shù)作為業(yè)務(wù)量指數(shù).2、數(shù)據(jù)分析報表及說明表4-1醫(yī)院直接醫(yī)療科室本錢收益率和工作量期間工2021.1 -2021.3金額單位：元科室收入本錢收益門診人次實際占用床日總計34,838,762.3137,547,812.47-2,709,050.1615705333704內(nèi)科11,788,496.2112,247,779.04-459,282.832336613,533.00外科4,371,425.935,58

29、3,220.68-1,211,794.7570396,819.00骨科3,506,737.313,872,373.05-365,635.7487864978婦科2,722,846.683,304,235.99-581,389.31113265513兒科2,303,448.242,480,577.22-177,128.98124011630皮科411,052.01471,616.38-60,564.376345中醫(yī)科125,841.27191,100.15-65,258.881319腫瘤科225,059.86207,748.8217,311.041473眼科368,649.18558,010.1

30、9-189,361.017741五官科320,661.51508,309.26-187,647.745373口腔科567,739.70785,551.17-217,811.477294急診3,396,582.573,618,337.75-221,755.1812718肛腸科55,972.0770,398.61-14,426.54353整形科8,603.2620,786.28-12,183.0226疼痛科100,165.3680,039.5520,125.81401激光6,442.7227,443.39-21,000.67泌尿科79,137.4965,993.9913,143.50553傳染科3

31、42,023.49170,645.19171,378.30888綜合科157,042.47302,432.51-145,390.041231東門診1,004,201.40318,900.30685,301.106597西門診889,130.10428,712.90460,417.207472門診其他64,369.81175,460.40-111,090.5935582住院其他2,023,133.672,058,139.64-35,005.97注：由于此數(shù)據(jù)中東、西門診藥品本錢計入末按規(guī)定執(zhí)行,因此暫不參加分析及排名.四、 醫(yī)技科室收入、本錢、收益明細(xì)表1、目標(biāo)與方法本統(tǒng)計分析反映我院各主要醫(yī)技

32、科室作為本錢中央按責(zé)任的歸屬在報告期內(nèi)的本錢收益明細(xì)評價.針對我院的第一季度選取10個主要醫(yī)技科室PET中央、病理科、超聲診斷科、放射科、放射治療科、核醫(yī)學(xué)科實驗 室、檢驗科、輸血科、物理醫(yī)學(xué)康復(fù)科、藥劑科的本錢收益率進行統(tǒng)計分 析.考核和評價主要醫(yī)技科室的本錢收益率,能夠反映出大型醫(yī)療設(shè)備的 盈利水平上下,在醫(yī)院經(jīng)營中的突出作用.2、數(shù)據(jù)分析報表及說明期間：2021.1 -2021.3表5-1醫(yī)院主要醫(yī)技科室本錢收益率科室名稱收入本錢收益本錢收益率全院26,646,307.4923,192,312.863,453,994.6314.89%B超856,787.00251,259.34605,5

33、27.66241.00%放射CT室3,237,309.451,826,485.571,410,823.8877.24%檢驗科2,196,603.961,315,676.45880,927.5166.96%藥劑科18,323,413.3417,268,408.181,055,005.166.11%病理科101,630.0096,191.345,438.665.65%門診手術(shù)室187,344.90179,121.748,223.164.59%病房手術(shù)室1,177,684.511,168,976.828,707.690.74%心電圖111,465.20117,735.41-6,270.21-5.33

34、%麻醉科425,589.43498,696.08-73,106.65-14.66%高壓氧12,317.5079,115.81-66,798.31-84.43%腦電圖6,200.0045,290.55-39,090.55-86.31%換藥9,962.2089,813.29-79,851.09-88.91%治療室0137,451.06-137,451.06-100.00%注射室075,259.59-75,259.59-100.00%康復(fù)科042,831.60-42,831.60-100.00%金額單位：元以上數(shù)據(jù)說明:(1)各醫(yī)療技術(shù)科室的收益率：B超241.00%,放射CT室77.24%,檢驗科

35、66.96%,藥劑科6.11%,病理科5.65%,門診手術(shù)室 4.59%,病房手術(shù)室0.74%.(2)心電圖、麻醉科、高壓氧、腦電圖、換藥室都為虧損,其中高壓氧 和腦電圖虧損較高.(3)治療室、注射室、康復(fù)科由于HIS中沒有設(shè)立這三個科室, 由此收 入不能單獨核算出來,所以只能核算出本錢數(shù)據(jù), 建議我院如果對 三個科室進行核算,應(yīng)完善 HIS系統(tǒng),單獨設(shè)立此獨立核算單元.五、 每單位收入、本錢、收益、本錢收益率分析1、目標(biāo)與方法單位本錢是指每一診療人次或住院床日的本錢.其計算公式是：其中本錢總額可以是：醫(yī)療本錢總額、藥品本錢總額、門診本錢總額、住院本錢總額.其中業(yè)務(wù)量可以是：門診診療人次、住院

36、床日數(shù).診次本錢是醫(yī)院為患者提供一次完整的門診效勞所消耗的平均本錢.一個診次的效勞包括從掛號、交款、檢查、診斷、直至明確結(jié)局的全過程.床日本錢是醫(yī)院為一個住院病人提供一天的診療效勞所消耗的平均成本.床日本錢包括住院、檢查、治療、藥品、血液、其它醫(yī)療材料等所有 住院效勞的本錢.單位本錢是考核醫(yī)院實際本錢水平的指標(biāo),便于同類醫(yī) 院之間的比擬.在一般情況下,一個醫(yī)院的某單位本錢的升降,可以直接 地表示醫(yī)院在此方面本錢限制上的成效.2、數(shù)據(jù)分析報表及說明表6-1醫(yī)院(門診)單位收入本錢收益分析表期間：2021.1-2021.3金額單位：元科室診次收入診次本錢診次收益門診人次門診合計118.27107.

37、3410.93157053傳染科門診385.16192.17192.99888疼痛科249.79199.6050.19401骨科門診231.66196.7134.958786內(nèi)科門診207.86178.0729.7823366泌尿科門診143.11119.3423.77553婦科門診104.1181.9022.2211326兒科門診132.39118.3614.03124011腫瘤科152.79141.0411.751473 1外科門診127.25124.302.957039 1皮科64.7874.33-9.556345急診267.07284.51-17.4412718眼科47.6272.09

38、-24.467741口腔科77.84107.70-29.867294五官科59.6894.60-34.925373 1肛腸科158.56199.43-40.87353中醫(yī)科95.41144.88-49.481319整形科330.89799.47-468.5826激光#DIV/0!#DIV/0!#DIV/0!0東門診152.2248.34103.886597西門診118.9957.3861.627472門診其他1.814.93-3.1235582注：1、由于此數(shù)據(jù)中東、西門診藥品本錢計入末按規(guī)定執(zhí)行,因此暫不參加分析及排名.2 、激光門診未統(tǒng)計出門診人次,因此無法對其診次收入、診次本錢、診次收益

39、進行計 算. 表6-2醫(yī)院門診單位醫(yī)療收入本錢收益分析表期間：2021.1-2021.3金額單位：元科室診次醫(yī)療收入診次醫(yī)療本錢診次醫(yī)療收益門診診次門診合計42.9645.94-2.99157053傳染科門診238.6955.95182.75888疼痛科187.93140.6947.23401骨科門診100.1871.1928.988786內(nèi)科門診53.8932.2421.66233661婦科門診69.9648.8321.1311326泌尿科門診29.9812.8817.10553腫瘤科82.5373.968.581473兒科門診38.1230.417.7012401外科門診44.3344.8

40、3-0.497039皮科6.4618.41-11.956345眼科22.0647.15-25.097741急診119.73146.92-27.1912718口腔科59.1189.05-29.947294五官科19.9456.30-36.365373肛腸科55.67100.57-44.90353中醫(yī)科24.5377.49-52.961319整形科286.35757.39-471.0426激光#DIV/0!#DIV/0!#DIV/0!0東門診17.0148.10-31.096597西門診12.8857.13-44.257472門診其他1.633.89-2.2535582注：1、由于此數(shù)據(jù)中東、西門

41、診藥品本錢計入末按規(guī)定執(zhí)行,因此暫不參加分析及排名.2、激光門診未統(tǒng)計出門診人次,因此無法對其診次醫(yī)療收入、診次醫(yī)療本錢、診次醫(yī) 療收益進行計算.表6-3醫(yī)院門診單位藥品收入本錢收益分析表期間：2021.1-2021.3金額單位：元科室診次藥品收入診次藥品本錢診次藥品收益門診診次門診合計75.3161.4013.91157053.00傳染科門診146.47136.2210.25888.00急診147.34137.599.7512718.00內(nèi)科門診153.96145.848.1223366.00泌尿科門診113.12106.456.67553.00兒科門診94.2787.956.3312401

42、.00骨科門診131.48125.515.978786.00肛腸科102.8998.864.03353.00中醫(yī)科70.8867.403.481319.00外科門診82.9279.473.457039.00腫瘤科70.2667.083.171473.00疼痛科61.8658.912.96401.00整形科44.5442.082.4626.00皮科58.3255.922.416345.00五官科39.7438.301.445373.00婦科門診34.1533.061.0811326.00眼科25.5624.930.627741.00口腔科18.7318.650.087294.00激光#DIV/0

43、!#DIV/0!#DIV/0!0.00東門診135.210.24134.976597.00西門診106.110.24105.877472.00門診其他0.181.04-0.8735582.00注：1、由于此數(shù)據(jù)中東、西門診藥品本錢計入末按規(guī)定執(zhí)行,因此暫不參加分析及排名.2、激光門診未統(tǒng)計出門診人次,因此無法對其診次醫(yī)療收入、診次醫(yī)療本錢、診次醫(yī) 療收益進行計算.以上數(shù)據(jù)說明：1數(shù)據(jù)說明,我院每門診人次平均收費水平118.27元,其中醫(yī)療收費42.96 元,藥品收費75.31元,藥品收費的比例為 63.70%. 每門診人次平均本錢107.34元,其中醫(yī)療本錢45.94元,藥品成 本61.40元

44、.每門診人次收益 10.93元,其中醫(yī)療收益-2.99元, 藥品收益13.91元.2每門診人次收費最高385.16元傳染科門診,最低47.62元眼 科,各科總體均值118.27元.每門診人次本錢最高 799.47元整 形科,最低72.09元眼科,各科總體均值107.34元.表6-4醫(yī)院住院單位收入本錢收益分析表期間：2021.1-2021.3金額單位：元科室床日收入床日本錢床日收益實際占用床日住院合計482.56613.85-131.2933704.00內(nèi)四539.53539.57-0.043351.00內(nèi)二466.96495.59-28.633131.00內(nèi)五452.23508.54-56.

45、312829.00外一370.34486.83-116.492893.00綜合科127.57245.68-118.111231.00骨科病房295.58430.71-135.134978.00內(nèi)一412.66551.67-139.012961.00外二378.09523.22-145.132182.00婦科病房280.01431.11-151.105513.00兒科病房405.92621.32-215.401630.00外三628.04863.23-235.191744.00內(nèi)/、485.65925.24-439.581261.00CCU#DIV/0!#DIV/0!#DIV/0!ICU#DIV

46、/0!#DIV/0!#DIV/0!住院其他#DIV/0!#DIV/0!#DIV/0!注：由于ICU與CCUW房未統(tǒng)計出實際占用總床日數(shù),因此無法計算出床日收入、 床日本錢、床日收益.表6-5醫(yī)院住院單位醫(yī)療收入本錢收益分析表金額單位：元期間：2021.1-2021.3科室床日醫(yī)療收入床日醫(yī)療本錢床日醫(yī)療收益實際占用床日住院合計239.87387.61-147.7433704.00內(nèi)四216.34241.71-25.383351.00內(nèi)二223.75268.63-44.883131.00內(nèi)五185.41258.39-72.982829.00綜合科54.52179.06-124.541231.00

47、外一146.53282.98-136.442893.00骨科病房98.56242.40-143.854978.00外二143.33298.59-155.262182.00婦科病房193.18349.41-156.235513.00內(nèi)一155.79315.70-159.912961.00兒科病房187.80418.40-230.601630.00外三177.22448.14-270.931744.00內(nèi)/、242.12696.15-454.031261.00CCU#DIV/0!#DIV/0!#DIV/0!ICU#DIV/0!#DIV/0!#DIV/0!住院其他#DIV/0!#DIV/0!#DIV

48、/0!注：由于ICU與CCUW房未統(tǒng)計出實際占用總床日數(shù),因此無法計算出床日醫(yī)療收入、床日醫(yī)療本錢、床日醫(yī)療收益. 表6-6 18所醫(yī)院住院單位 藥品收入本錢收益分析表期間：2021.1-2021.3金額單位：元科室床日藥品收入床日藥品本錢床日藥品收益住院床日數(shù)住院合計242.69226.2416.4533704.00外三450.82415.0935.741744.00內(nèi)四323.19297.8525.343351.00內(nèi)一256.88235.9720.912961.00外一223.81203.8619.952893.00內(nèi)五266.81250.1516.672829.00內(nèi)二243.21226.9616.253131.00兒科病房218.12202.9215.201630.00內(nèi)/、243.53229.0914.441261.00外二234.76224.6310.132182.00骨科病房197.02188.318.714978.00綜合科73.0566.626.431231.00婦科病房86.83