CAJ | 학술논문

目的：探讨股骨颈骨折实施单病种限额付费的意义。方法分析中山市某二甲医院2007年7月～2013年6月主要诊断为股骨颈骨折患者的住院费用，按单病种限额付费管理前、后分为2组单病种付费前组（n=62），单病种付费后组（n=93）。采用EXCEL和SPSS 15.0统计软件处理。结果单病种付费管理后，传统手术及修复手术的日均费用高于单病种管理前，单病种管理前、后手术治疗的治愈率明显高于保守治疗，差异有统计学意义(P<0.05)。单病种限额付费前、后保守治疗、传统手术、修复手术例均费用均超出限额标准。单病种限额付费后化验费高于单病种管理前（t=-2.616， P=0.010），检查费高于单病种管理前（t=-3.464，P=0.001）。结论中山市社保局制订的限额付费标准，较实际医疗费用低，应进一步完善，从而实现住院费用的合理控制。
목적：탐토고골경골절실시단병충한액부비적의의。방법분석중산시모이갑의원2007년7월～2013년6월주요진단위고골경골절환자적주원비용，안단병충한액부비관리전、후분위2조단병충부비전조（n=62），단병충부비후조（n=93）。채용EXCEL화SPSS 15.0통계연건처리。결과단병충부비관리후，전통수술급수복수술적일균비용고우단병충관리전，단병충관리전、후수술치료적치유솔명현고우보수치료，차이유통계학의의(P<0.05)。단병충한액부비전、후보수치료、전통수술、수복수술례균비용균초출한액표준。단병충한액부비후화험비고우단병충관리전（t=-2.616， P=0.010），검사비고우단병충관리전（t=-3.464，P=0.001）。결론중산시사보국제정적한액부비표준，교실제의료비용저，응진일보완선，종이실현주원비용적합리공제。
Objective To study the significance of single-disease payment implemented the femoral neck fracture. Methods Analysised the hospitalization expenses of the femoral neck fracture in a dimethyl hospital of zhongshan city from July 2007 to June 2013. They are divided into two groups,before single-disease payment group incluing 62 cases, after the single macro-reforms group 93 cases. And using EXcelland SPSS 15.0 statistical software processing. Results After the single disease payment management, the average daily cost of the traditional surgery and reconstructive surgery was more than single diseases management, the cure rate of surgical treatment was obviously higher than the conservative treatment, the difference was statistically significant. The conservative treatment, the traditional surgery, surgery to repair a case all costs beyond the limit of single diseases paid standards. Limit of single diseases after paying assay was higher than before the single disease management (t=2.616, P=0.01), the inspection fee was higher than before the single disease management (t=3.464, P=0.001). Conclusion The limit pay standards of zhongshan social security bureau is lower the actual medical expenses, which should be further perfected, so as to realize the reasonable control of hospitalization expenses.