The impact of medical service price adjustment on economic operation of public hospitals:a case study of a hospital in anhui province
10.3969/j.issn.1671-332X.2025.06.022
- VernacularTitle:医疗服务项目价格调整对公立医院经济运营的影响
- Author:
Wei WEI
1
;
Xinmei JIANG
1
;
Qiqiang XIAO
1
;
Weimin CUI
1
Author Information
1. 安徽医科大学第一附属医院 安徽合肥 230032
- Publication Type:Journal Article
- Keywords:
Medical service price adjustment;
Public hospitals;
Economic operation;
Interrupted time series analysis;
Value of technical labor services
- From:
Modern Hospital
2025;25(6):906-909
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the impact of medical service price adjustment policies on the economic operations of public hospitals.Methods Utilizing operational data from a provincial tertiary hospital in Anhui Province spanning December 2022 to December 2024,an interrupted time series analysis(ITS)was conducted,with the price adjustment policy implemented in December 2023 as the intervention node.This study quantified trends in surgical income,laboratory income,and cost structure changes before and after the policy implementation.Sensitivity analysis was performed to validate the robustness of findings.Results Following the surgical service price adjustment,income surged by 6.125 million(11.72％)in the first month,with adjusted items contributing 42.5％to this increase.The long-term monthly growth rate rose to 78.9 thousand,and the proportion of technical labor income increased from 6.1％to 10.1％.For laboratory services,the price adjustment led to an initial income decline of 10.324 million(P＜0.001).However,through domestic consumable substitution(provincially centralized procure-ment of testing reagents achieved an average price reduction of 53.9％)and process automation(reducing 30％-40％ of repeti-tive labor in testing personnel),the monthly decline narrowed to 195 thousand driving a transition toward technology-driven labo-ratory services.Conclusion The price adjustment policy optimized public hospital revenue structures through dual mechanisms of"technical value compensation"and"separation of technical services from consumables",effectively addressing the issue of"consumable-dependent revenue models".Public hospitals should enhance refined management,establish a technical labor val-ue-oriented pricing system,and coordinate with dynamic policy adjustments to achieve synergistic improvements in economic effi-ciency and healthcare quality.
