CAJ | 학술논문

目的了解乳腺癌单病种费用包干的应用现状,分析乳腺癌手术病人医疗费用情况,为医疗保险机构提供有价值的参考依据.方法对收治的乳腺癌手术病人,按照不同的支付方式分为单病种医保费用包干组(实验组)50例和非医保病人50例(对照组)进行住院费用调查与分析.结果实验组的人均住院费用中的平均住院日、候手术日、药品费、化验费、检查费、治疗费、材料费、床位费、护理费均低于对照组,差异均有统计学意义(P<0.05).结论乳腺癌病人实施单病种限价收费的医疗制度基本合理.
목적 료해유선암단병충비용포간적응용현상,분석유선암수술병인의료비용정황,위의료보험궤구제공유개치적삼고의거.방법 대수치적유선암수술병인,안조불동적지부방식분위단병충의보비용포간조(실험조)50례화비의보병인50례(대조조)진행주원비용조사여분석.결과 실험조적인균주원비용중적평균주원일、후수술일、약품비、화험비、검사비、치료비、재료비、상위비、호리비균저우대조조,차이균유통계학의의(P<0.05).결론 유선암병인실시단병충한개수비적의료제도기본합리.
Objective To get the application situation of contract system of single sort disease cost in breast cancer, and to analyze the cost of patients who underwent the breast cancer surgery, so as to provide the valuable references to the medical insurance agencies. Methods Breast cancer surgical patients from Jan 2006 to Oct 2007 were randomly divided into the group of medical insurance cost contract for single sort disease ( the experiment group) and the nun-medical insurance group (the control group) according to the different payment modes, with 50 cases in each group. Then their hospitalization costs in hospital were investigated and analyzed.Results In the experiment group, the mean hospitalization day, the mean day waiting for operation, medicine cost, medical test cost, examination cost, treatment cost, medical material cost, bed cost and nursing cost were all lower than those in the control group. Through the T test, the differences had statistic meanings (P<0.05).Conclusions The medical system of limited price charge for single sort disease in breast cancer patients ismostly reasonable.